Active NPI
Catherine Gillen
- Physical Therapist
- St Charles, IL
National Provider Identifier
1811645369
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 160008573
- Practice address
- 2900 Foxfield Rd Ste 102
St Charles, IL 60174-5799 - Phone
- (630) 377-1188
- NPI assigned
- Mar 14, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 160008573 | IL | Primary |
Addresses
Primary practice location
2900 Foxfield Rd Ste 102
St Charles, IL 60174-5799
Mailing address
2900 Foxfield Rd Ste 102
St Charles, IL 60174-5799
Phone (630) 377-1188
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 160008573 | Other | IL | STATE LICENSE |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 160008573 | IL | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1647216000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1647216000000",
"number": "1811645369",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2900 FOXFIELD RD STE 102",
"city": "ST CHARLES",
"state": "IL",
"postal_code": "601745799",
"telephone_number": "630-377-1188"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2900 FOXFIELD RD STE 102",
"city": "ST CHARLES",
"state": "IL",
"postal_code": "601745799",
"telephone_number": "630-377-1188"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GILLEN",
"first_name": "CATHERINE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-03-14",
"last_updated": "2022-03-14",
"certification_date": "2022-03-14",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IL",
"license": "160008573",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "160008573",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}Other providers in St Charles, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.