Lainey Havertape, PT, DPT
NPI 1083900583ActiveIndividual· Physical Therapist· Shorewood, IL
Physical Therapist (PT, DPT) in Shorewood, Illinois, licensed in IL, WI and IN, with an NPI issued in June 2011. Enrolled in Medicare as practitioner - physical therapist in private practice.
Overview
| NPI | 1083900583 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PT, DPT |
| Sole proprietor | No |
| NPI issued | Jun 22, 2011 |
| Last updated in NPPES | Nov 14, 2025 |
| Certified by provider | Nov 14, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | 070-020303 | IL |
| Physical Therapist | 225100000X | 11771-24 | WI |
| Physical Therapist | 225100000X | 1177124 | WI |
| Physical Therapist | 225100000X | 05010306A | IN |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physical Therapist in Private Practice (IL) |
|---|
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