IndividualActive
Katie Allen-Wacker, PTA
NPI 1609103787 · Physical Therapy Assistant · Marengo, IL
Provider details
- NPI number
- 1609103787
- Entity type
- Individual
- Primary specialty
- Physical Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- PTA
- Sex
- Female
- Sole proprietor
- No
- License
- 160005283 (IL)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
Detailed profile(84/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
212 Lindow Lane
Suite M
Marengo, IL 60152
Phone: (815) 568-8878
Fax: (815) 568-9977
Street-level locationGet directions
Mailing address
Po Box 1534
Belvidere, IL 61008-1705
Registry dates
- Enumerated
- 2009-11-10
- Last updated
- 2009-11-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.