Healthcare Provider Details

I. General information

NPI: 1033807482
Provider Name (Legal Business Name): KAITLYN SCHOENBEIN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/25/2023
Last Update Date: 03/03/2026
Certification Date: 03/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8235 E 116TH ST STE 220
FISHERS IN
46038-1554
US

IV. Provider business mailing address

2122 YORK RD STE 300
OAK BROOK IL
60523-1925
US

V. Phone/Fax

Practice location:
  • Phone: 317-813-2100
  • Fax:
Mailing address:
  • Phone: 630-575-4423
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number05015198A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: