Healthcare Provider Details

I. General information

NPI: 1578499547
Provider Name (Legal Business Name): CAITLIN FITZSIMONS PT, DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/18/2026
Last Update Date: 06/18/2026
Certification Date: 06/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

18210 LA GRANGE RD STE 100
TINLEY PARK IL
60487-7723
US

IV. Provider business mailing address

10517 S KOSTNER AVE
OAK LAWN IL
60453-5309
US

V. Phone/Fax

Practice location:
  • Phone: 708-658-2780
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number070039854
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: