Individual provider Active NPI

Kelsey Lauren Makoul, DPT

  • Physical Therapist
  • Jenkintown, PA
National Provider Identifier
1003306291
Registry record updated Dec 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
634 Old York Rd
Jenkintown, PA 19046-2811
Phone
(215) 881-9181
Fax
(215) 881-9212
NPI assigned
May 14, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 26, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X Primary

Addresses

Primary practice location

634 Old York Rd
Jenkintown, PA 19046-2811

Mailing address

2001 Butterfield Rd Ste 1600
Downers Grove, IL 60515-1211

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190108001720 PA Practitioner - Physical Therapist in Private Practice 3779829007 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Temple University School of Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ati Holdings, LLCGroup PAC ID 9537112719, 440 clinicians

Practice addresses (Care Compare)

634 Old York Rd
Jenkintown, PA 19046-2811
Phone (215) 881-9181

Merit-based Incentive Payment System (MIPS)

Final score
86.05 of 100Reported as group
Quality
89.12
Improvement activities
40
Cost
73.46

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Ati Holdings, LLC Physical Therapist CurrentSince Nov 7, 2018 Accepting new patients
Ati Holdings, LLC Physical Therapist CurrentSince Nov 7, 2018 Accepting new patients
Ati Holdings, LLC Past Accepting new patients

Locations

790 Remington Blvd
Bolingbrook, IL 60440

4947 Paysphere Cir
Chicago, IL 60674
Phone (630) 783-2001

2001 Butterfield Rd
Ste 1600
Downers Grove, IL 60515

101 W City Ave
Ste B
Bala Cynwyd, PA 19004
Phone (484) 270-9170

2641 Street Rd
Bensalem, PA 19020
Phone (267) 525-0135

220 Commerce Cir
Bristol, PA 19007
Phone (215) 826-8089

73 Old Dublin Pike
Ste 6
Doylestown, PA 18901
Phone (215) 348-0666

511 S Oxford Valley Rd
Fairless Hills, PA 19030
Phone (215) 949-7985

775 Huntingdon Pike
Huntingdon Valley, PA 19006
Phone (215) 690-5575

1753 Kendarbren Dr
Ste 610
Jamison, PA 18929
Phone (215) 343-2141

634 Old York Rd
Jenkintown, PA 19046
Phone (215) 881-9181

2022 E Old Lincoln Hwy
Ste 6
Langhorne, PA 19047
Phone (215) 891-5150

626 Market St
Philadelphia, PA 19106

180 W Girard Ave
Ste 1
Philadelphia, PA 19123
Phone (267) 592-4033

9475 Roosevelt Blvd
Philadelphia, PA 19114
Phone (215) 464-6200

1100 S Christopher Columbus Blvd
Ste 25
Philadelphia, PA 19147
Phone (267) 592-4508

118 Townsedge Dr
Quarryville, PA 17566
Phone (717) 806-5126

468 2nd Street Pike
Southampton, PA 18966
Phone (215) 876-6692

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1526256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735171200000",
    "number": "1003306291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 BUTTERFIELD RD STE 1600",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605151211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "634 OLD YORK RD",
            "city": "JENKINTOWN",
            "state": "PA",
            "postal_code": "190462811",
            "telephone_number": "215-881-9181",
            "fax_number": "215-881-9212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAKOUL",
        "first_name": "KELSEY",
        "middle_name": "LAUREN",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-14",
        "last_updated": "2024-12-26",
        "certification_date": "2024-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jenkintown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.