Kathleen Shean, M.P.T.

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

070011627 Issued in IL

Practice address

1208 E Lake Ave
Glenview, IL 60025-2265

Phone

(312) 925-5325

NPI assigned

Mar 16, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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

• Physical Wellness Lab, LLC

  • Physical Therapist
  • Chicago, IL
  • NPI 1427712389
  NPD

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

{
    "created_epoch": "1174003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590710400000",
    "number": "1801920103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1208 E LAKE AVE",
            "city": "GLENVIEW",
            "state": "IL",
            "postal_code": "600252265",
            "telephone_number": "312-925-5325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1208 E LAKE AVE",
            "city": "GLENVIEW",
            "state": "IL",
            "postal_code": "600252265",
            "telephone_number": "312-925-5325"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3548 N. Southport Ave.",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "60657",
            "country_code": "US",
            "telephone_number": "773-755-9214 x2",
            "fax_number": "773-755-9216",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHEAN",
        "first_name": "KATHLEEN",
        "name_prefix": "Ms.",
        "credential": "M.P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-16",
        "last_updated": "2020-05-29",
        "certification_date": "2020-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "IL",
            "license": "070011627",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laurie Sharp
• Karthik Shastri, M.D.
• Erum Aslam Shaukat, RD, LDN
• David Sheade, O.D.
• Sheade, P.C.
• Chloe B Sheehan, NP, PMHNP
• Melissa Shefler, RD
• Denise Josephine Shepherd
• Ralph Francis Shepstone, D.D.S.
• Sheree B Lipkis, MD SC

• Orthopedic Physical Therapist in Glenview, IL
• Providers in Glenview, IL by specialty
• Orthopedic Physical Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2020; 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.