Individual provider Active NPI

Katie L Housam, PT

  • Physical Therapist
  • Chicago, IL
National Provider Identifier
1831566710
Registry record updated Mar 13, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
070021780 Issued in IL
Practice address
9645 S Western Ave
Chicago, IL 60643-1722
Phone
(773) 239-2734
Fax
(773) 239-2784
NPI assigned
Aug 27, 2015
Last updated
Mar 13, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 070021780 IL Primary

Addresses

Primary practice location

9645 S Western Ave
Chicago, IL 60643-1722

Mailing address

790 Remington Blvd
Bolingbrook, IL 60440-4909
Phone (630) 296-2223

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171013000672 IN Practitioner - Physical Therapist in Private Practice 7719293976 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Physical Therapy LLCGroup PAC ID 6002959525, 170 clinicians

Practice addresses (Care Compare)

12980 Adams Rd
Suite B
Granger, IN 46530-4800
Phone (574) 404-5660

221 W Day Rd
Mishawaka, IN 46545-1401
Phone (574) 256-9420

5949 W Raymond St
Indianapolis, IN 46241-4348
Phone (317) 247-1579

900 Johnson St
Suite B
Elkhart, IN 46514-3328
Phone (574) 206-1581

Merit-based Incentive Payment System (MIPS)

Final score
85.3 of 100Reported as group
Quality
88.48
Improvement activities
40
Cost
72.11

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Physical Therapy, LLC Physical Therapist CurrentSince Sep 21, 2017 Accepting new patients
Advanced Physical Therapy, LLC Physical Therapist CurrentSince Sep 21, 2017 Accepting new patients

Locations

790 Remington Blvd
Bolingbrook, IL 60440

4947 Paysphere Cir
Chicago, IL 60674
Phone (630) 783-2001

800 Des Plaines Ave
Forest Park, IL 60130
Phone (708) 366-2442

0S050 Winfield Rd
Ste 120
Winfield, IL 60190
Phone (630) 653-4743

205 County Road 6 E
Ste Q
Elkhart, IN 46514
Phone (574) 584-3406

900 Johnson St
#B
Elkhart, IN 46514
Phone (574) 206-1581

1763 Lincolnway E
Goshen, IN 46526

12980 Adams Rd
Ste B
Granger, IN 46530
Phone (574) 404-5660

12980 Adams Rd
Granger, IN 46530

5949 W Raymond St
Indianapolis, IN 46241
Phone (317) 247-1579

5178 Franklin St
Michigan City, IN 46360
Phone (219) 879-2523

221 W Day Rd
Mishawaka, IN 46545
Phone (574) 256-9420

202 W Ireland Rd
South Bend, IN 46614
Phone (574) 404-5069

3510 Portage Rd
#A
South Bend, IN 46628
Phone (574) 203-9527

3510 Portage Rd
South Bend, IN 46628
Phone (574) 203-9527

71 Silhavy Rd
Ste 121
Valparaiso, IN 46383
Phone (219) 462-0576

2202 Laporte Ave
Valparaiso, IN 46383
Phone (219) 286-3372

Organizations & group practices 2

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": "1440633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1520899200000",
    "number": "1831566710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "790 REMINGTON BLVD",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604404909",
            "telephone_number": "630-296-2223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9645 S WESTERN AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606431722",
            "telephone_number": "773-239-2734",
            "fax_number": "773-239-2784"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOUSAM",
        "first_name": "KATIE",
        "middle_name": "L",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-27",
        "last_updated": "2018-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070021780",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.