Individual provider Active NPI

Danielle Marie Keldermans, PT,DPT,OCS,FAAOMPT

  • Physical Therapist
  • Springfield, IL
National Provider Identifier
1134476039
Registry record updated Dec 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
070.019153 Issued in IL
Practice address
3921 Pintail Dr
Springfield, IL 62711-6738
Phone
(217) 899-2270
Fax
(217) 953-4129
NPI assigned
Aug 9, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2025

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 070.019153 IL Primary

Addresses

Primary practice location

3921 Pintail Dr
Springfield, IL 62711-6738

Mailing address

3921 Pintail Dr
Springfield, IL 62711-6738
Phone (217) 899-2270

Other practice location 1

4000 Westgate Dr
Springfield, IL 62711-7434
Phone (217) 899-2270

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141010001095 IL Practitioner - Physical Therapist in Private Practice 2466672647 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2012
Medicare assignment
May accept Medicare assignment
Group practices
Keldermans Therapy Services, PLLCGroup PAC ID 6507238276, 3 clinicians

Practice addresses (Care Compare)

3921 Pintail Dr
Springfield, IL 62711-6738
Phone (217) 899-2270

4000 Westgate Dr
Springfield, IL 62711-7434

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
070.019153ILMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Keldermans Therapy Services, PLLC Physical Therapist CurrentSince Nov 1, 2021 Accepting new patients

Locations

4000 Westgate Dr
Springfield, IL 62711
Phone (217) 726-6101

3921 Pintail Dr
Springfield, IL 62711
Phone (217) 572-2286

3901 Wood Duck Dr
Ste B
Springfield, IL 62711
Phone (217) 899-2270

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.

NPI Registry JSON

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

{
    "created_epoch": "1344470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764979200000",
    "number": "1134476039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3921 PINTAIL DR",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627116738",
            "telephone_number": "217-899-2270",
            "fax_number": "217-953-4129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3921 PINTAIL DR",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627116738",
            "telephone_number": "217-899-2270",
            "fax_number": "217-953-4129"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4000 Westgate Dr",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "IL",
            "postal_code": "627117434",
            "country_code": "US",
            "telephone_number": "217-899-2270",
            "fax_number": "217-953-4129",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KELDERMANS",
        "first_name": "DANIELLE",
        "middle_name": "MARIE",
        "credential": "PT,DPT,OCS,FAAOMPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-09",
        "last_updated": "2025-12-06",
        "certification_date": "2025-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070.019153",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2025; 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.