Active NPI
Kaylee Barba
- Physical Therapist
- Gurnee, IL
National Provider Identifier
1043028624
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 070.028818
- Practice address
- 495 N Il Route 21 Ste 102
Gurnee, IL 60031-5919 - Phone
- (847) 599-9171
- Fax
- (847) 599-9124
- NPI assigned
- Dec 27, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 070.028818 | IL | Primary |
Addresses
Primary practice location
495 N Il Route 21 Ste 102
Gurnee, IL 60031-5919
Mailing address
495 N Il Route 21 Ste 102
Gurnee, IL 60031-5919
Phone (847) 599-9171
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
495 N Il Route 21
Suite 102
Gurnee, IL 60031-5919
Phone (847) 599-9171
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 070.028818 | IL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Creative Rehab, Inc. | Current | Accepting new patients |
Locations
495 N Riverside Dr
Ste 102
Gurnee, IL 60031
Phone (847) 599-9171
Organizations & group practices 1
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.
-
- Physical Therapy Clinic/Center
- Gurnee, IL
- NPI 1487723359
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1735257600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1735257600000",
"number": "1043028624",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "495 N IL ROUTE 21 STE 102",
"city": "GURNEE",
"state": "IL",
"postal_code": "600315919",
"telephone_number": "847-599-9171",
"fax_number": "847-599-9124"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "495 N IL ROUTE 21 STE 102",
"city": "GURNEE",
"state": "IL",
"postal_code": "600315919",
"telephone_number": "847-599-9171",
"fax_number": "847-599-9124"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BARBA",
"first_name": "KAYLEE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-12-27",
"last_updated": "2024-12-27",
"certification_date": "2024-12-27",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IL",
"license": "070.028818",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gurnee, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 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.