Jonathan Kelley, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

070.026953 Issued in IL

Practice address

1 S Greenleaf St Ste I
Gurnee, IL 60031-3370

Phone

(847) 599-9171

NPI assigned

Sep 30, 2022

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Washington University School of Medicine, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Creative Rehab IncGroup PAC ID 3173879186, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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

• Creative Rehab, Inc.

  • Physical Therapy Clinic/Center
  • Gurnee, IL
  • NPI 1487723359

  Single Specialty

  Medicare reassignment Care Compare group NPD
• Pain Solutions, LLC

  • Pain Medicine Physician
  • Skokie, IL
  • NPI 1740946524

  Single Specialty

  NPD (past)

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

{
    "created_epoch": "1664496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664496000000",
    "number": "1033833272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 S GREENLEAF ST STE I",
            "city": "GURNEE",
            "state": "IL",
            "postal_code": "600313370",
            "telephone_number": "847-599-9171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 S GREENLEAF ST STE I",
            "city": "GURNEE",
            "state": "IL",
            "postal_code": "600313370",
            "telephone_number": "847-599-9171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLEY",
        "first_name": "JONATHAN",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-09-30",
        "last_updated": "2022-09-30",
        "certification_date": "2022-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070.026953",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jkelley@creativerehab.net",
            "affiliation": "Y",
            "endpointDescription": "secure email",
            "affiliationName": "Creative Rehab, Inc.",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "email",
            "address_1": "1 S Greenleaf St Ste I",
            "city": "Gurnee",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600313370",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Pramila Kasturi, MD
• Dean Kasula
• Shirley Lynn Katz, OTRL CHT
• Kristina Kauth, LSW
• April Joy Kee, PT, DPT, CLT
• Jeffrey Allen Kemen, OTRL
• Kristin M Kenny, PT
• Denisa Kerekes
• Kirsten L Kessler, ND
• Noah Kessler

• Physical Therapist in Gurnee, IL
• Providers in Gurnee, IL by specialty
• Physical Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2022; 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.