Individual provider · Type 1 NPI

Lainey Havertape, PT, DPT

Physical Therapist · Shorewood, IL

NPI number 1083900583 Active

Practice location

102 W Jefferson St
Shorewood, IL 60404-9502

Call (815) 215-7375 Map

Fax (630) 355-6216

Mailing address

PO Box 713260
Chicago, IL 60677-1260

Specialties and licenses

TaxonomyCodeLicense
Physical Therapist 225100000X11771-24 (WI)
Physical Therapist Primary 225100000X070-020303 (IL)
Physical Therapist 225100000X1177124 (WI)
Physical Therapist 225100000X05010306A (IN)

Physical Therapist: Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, r…

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About NPI 1083900583

Lainey Havertape, PT, DPT's National Provider Identifier is 1083900583, issued on Jun 22, 2011. The primary taxonomy on file is Physical Therapist (225100000X), and the practice location is in Shorewood, IL. The record was last updated on Nov 14, 2025.