Individual provider Active NPI

Catherine E Ofenlock, P.T.A.

  • Physical Therapy Assistant
  • Sycamore, IL
National Provider Identifier
1790979326
Registry record updated Aug 27, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
Practice address
245 W Exchange St
Suite 4
Sycamore, IL 60178-1495
Phone
(815) 895-9227
NPI assigned
Aug 27, 2007
Last updated
Aug 27, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X IL Primary

Addresses

Primary practice location

245 W Exchange St
Suite 4
Sycamore, IL 60178-1495

Mailing address

240 S Emmett St
Genoa, IL 60135-1117
Phone (815) 784-3893

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
160.001422ILMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Sycamore Cusd #427 Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1188172800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1188172800000",
    "number": "1790979326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "240 S EMMETT ST",
            "city": "GENOA",
            "state": "IL",
            "postal_code": "601351117",
            "telephone_number": "815-784-3893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "245 W EXCHANGE ST",
            "address_2": "SUITE 4",
            "city": "SYCAMORE",
            "state": "IL",
            "postal_code": "601781495",
            "telephone_number": "815-895-9227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OFENLOCK",
        "first_name": "CATHERINE",
        "middle_name": "E",
        "name_prefix": "Ms.",
        "credential": "P.T.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-27",
        "last_updated": "2007-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sycamore, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.