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

Dr. Lainey Havertape, PT, DPT

Individual provider Physical Therapist · NPI 1083900583

Dr. Lainey Havertape, PT, DPT is a Physical Therapist in Shorewood, Illinois. Licensed in Illinois, Indiana and Wisconsin. Registered with an NPI since 2011.

Licensed in
IL, IN, WI
In the registry since
2011
Specialties on file
4
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

102 W Jefferson St
Shorewood, IL 60404-9502
Phone: (815) 215-7375
Fax: (630) 355-6216
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 070-020303 (IL)
Physical Therapist Taxonomy 225100000X · Licence 11771-24 (WI)
Physical Therapist Taxonomy 225100000X · Licence 1177124 (WI)
Physical Therapist Taxonomy 225100000X · Licence 05010306A (IN)

Record details

NPI number1083900583
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT , DPT
Sole proprietorNo
NPI enumeratedJune 22, 2011
Last updated in NPPESNovember 14, 2025
Certification dateNovember 14, 2025
Mailing addressPo Box 713260, Chicago, IL 60677-1260

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