Active NPI
Elizabeth Kehoe, MPT
- Physical Therapist
- Chicago, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 070014293
- Practice address
- 5240 N Pulaski Rd Ste N
Chicago, IL 60630-1761 - Phone
- (773) 267-6922
- Fax
- (773) 267-6925
- NPI assigned
- Feb 12, 2007
- 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 | 070014293 | IL | Primary |
Addresses
Primary practice location
5240 N Pulaski Rd Ste N
Chicago, IL 60630-1761
Mailing address
625 Enterprise Dr
Oak Brook, IL 60523-8813
Phone (630) 575-6250
Other names 1
- Elizabeth Dallas
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1118 Main St
Suite a
Cross Plains, WI 53528-9477
Phone (608) 658-6890
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Capitol Physical Therapy LLC | Physical Therapist | Current | Accepting new patients |
| Nissenbaum and Schleusner Pro Physical Therapy LLC | Physical Therapist | Current | Accepting new patients |
| Nissenbaum and Schleusner Pro Physical Therapy LLC | Physical Therapist | Current | Accepting new patients |
| Nissenbaum and Schleusner Pro Physical Therapy LLC | Physical Therapist | Past | Accepting new patients |
Locations
1118 Main St
#A
Cross Plains, WI 53528
Phone (608) 413-0550
711 Rethke Ave
Ste 1
Madison, WI 53714
Phone (608) 841-1290
1709 Monroe St
Madison, WI 53711
Phone (608) 509-8298
2248 Deming Way
Ste 100
Middleton, WI 53562
Phone (608) 658-5352
6649 University Ave
#100
Middleton, WI 53562
Phone (608) 836-0305
1215 Springdale St
Mount Horeb, WI 53572
Phone (608) 437-0222
530 Water St
Sauk City, WI 53583
Phone (608) 413-0550
1266 W Main St
Sun Prairie, WI 53590
Phone (608) 318-1357
972 W Main St
Sun Prairie, WI 53590
Phone (608) 318-0052
Organizations & group practices 4
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
- Cross Plains, WI
- NPI 1821542853
Physical Therapist
-
- Physical Therapist
- Verona, WI
- NPI 1104846542
-
- Physical Therapist
- Sun Prairie, WI
- NPI 1316767213
-
- Physical Therapy Clinic/Center
- Middleton, WI
- NPI 1558861302
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171238400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1073655890",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "625 ENTERPRISE DR",
"city": "OAK BROOK",
"state": "IL",
"postal_code": "605238813",
"telephone_number": "630-575-6250",
"fax_number": "630-575-7450"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5240 N PULASKI RD STE N",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606301761",
"telephone_number": "773-267-6922",
"fax_number": "773-267-6925"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KEHOE",
"first_name": "ELIZABETH",
"credential": "MPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-12",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IL",
"license": "070014293",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ELIZABETH",
"last_name": "DALLAS",
"credential": "MPT",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.