Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. LAINEY HAVERTAPE, PT, DPT
ActiveDR. LAINEY HAVERTAPE, PT, DPT is a Physical Therapy Assistant healthcare provider located in SHOREWOOD, Illinois. NPI 1083900583 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · SHOREWOOD, IL
Registration Details
- NPI Number
- 1083900583
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 22, 2011 (15.141189510981 yrs)
- Last Updated
- Nov 14, 2025
- Licenses
-
11771-24 (WI)070-020303 (IL)1177124 (WI)05010306A (IN)
Practice Information
- Address
-
102 W JEFFERSON STSHOREWOOD, IL, 604049502Browse IL providers · Browse ZIP 60404
- Phone
- 8152157375
- Fax
- 6303556216
- Primary Specialty
-
Physical Therapy Assistant
225100000X
- Additional Specialty
- Physical Therapy Assistant
- Additional Specialty
- Physical Therapy Assistant
- Additional Specialty
- Physical Therapy Assistant
Other Physical Therapy Assistant Providers in SHOREWOOD, IL
| Name | Credential | NPI |
|---|---|---|
| MRS. KARI POGUE WALKER | PT | 1952324881 |
| MICHAEL CIUREJ | P.T. | 1225131402 |
| KRISTINE L AQUISAP | PT | 1720170384 |
| JILL MARIE KASPAR | MPT | 1821184458 |
| KATHLEEN M OLSEN | PT | 1174685549 |
| KERRI BOARDMAN | PT | 1093863367 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.