Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Craig Lee Oetjens, DPT

Individual provider Physical Therapist · NPI 1104116961

Craig Lee Oetjens, DPT is a Physical Therapist in Private Practice in Chicago, Illinois. Qualified in 2006, 20 years ago. Practices with Athletico Ltd, a 2,186-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Illinois and Michigan.

Years since qualifying
20
Licensed in
IL, MI
In the registry since
2011
Specialties on file
2
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

1644 E 53rd St
Chicago, IL 60615-4210
Phone: (773) 241-6540
Fax: (773) 241-6501
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 4111 S Canton Center Rd, Canton, MI 48188-2489 — (734) 454-8144

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 070.018349 (IL)
Physical Therapist Taxonomy 225100000X · Licence 5501014375 (MI)

Record details

NPI number1104116961
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorNo
NPI enumeratedApril 13, 2011
Last updated in NPPESMay 10, 2018

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2006 (20 years in practice)
Group practice Athletico Ltd — 2186 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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