Healthcare Provider Details

I. General information

NPI: 1376475806
Provider Name (Legal Business Name): JOINT CARE PHYSICAL THERAPY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/01/2026
Last Update Date: 06/01/2026
Certification Date: 05/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

24424 W PELLINORE DR
JOLIET IL
60404-6666
US

IV. Provider business mailing address

24424 W PELLINORE DR
JOLIET IL
60404-6666
US

V. Phone/Fax

Practice location:
  • Phone: 815-390-9119
  • Fax: 779-242-2228
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State

VIII. Authorized Official

Name: DR. LAINEY HAVERTAPE
Title or Position: DPT/OWNER
Credential: PT, DPT
Phone: 815-390-9119