Individual provider Active NPI

Kelsey Nevell

  • Physical Therapist
  • Bolingbrook, IL
National Provider Identifier
1194191627
Registry record updated Sep 3, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
070021579 Issued in IL
Practice address
790 Remington Blvd
Bolingbrook, IL 60440-4909
Phone
(630) 296-2223
Fax
(630) 759-9510
NPI assigned
Aug 19, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2015

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 070021579 IL Primary

Addresses

Primary practice location

790 Remington Blvd
Bolingbrook, IL 60440-4909

Mailing address

790 Remington Blvd
Bolingbrook, IL 60440-4909
Phone (630) 296-2223

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150901000886 IL Practitioner - Physical Therapist in Private Practice 2264748516 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

109 W Geneva Rd
Wheaton, IL 60187-9141
Phone (630) 784-3251

18 W431 Roosevelt Rd
Lombard, IL 60148-4142
Phone (630) 620-1511

336 Ogden Ave
Suite 338
Downers Grove, IL 60515-3141
Phone (630) 437-5428

Merit-based Incentive Payment System (MIPS)

Final score
85.61 of 100Reported as group
Quality
90
Improvement activities
40
Cost
70.36

Merit-based Incentive Payment System (MIPS)

Final score
86.49 of 100Reported as group
Quality
90
Improvement activities
40
Cost
73.3

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Athletic and Therapeutic Institute of Naperville LLC Physical Therapist Current Accepting new patients
Athletic and Therapeutic Institute of Naperville, LLC CurrentSince Aug 11, 2015 Accepting new patients
Athletic and Therapeutic Institute of Bourbonnais, LLC Physical Therapist Current Accepting new patients
Athletic & Therapeutic Institute of Bourbonnais, LLC Physical Therapist CurrentSince Sep 28, 2019 Accepting new patients
Athletic and Therapeutic Institute of Bourbonnais, LLC Physical Therapist CurrentSince Sep 28, 2019 Accepting new patients
Athletic and Therapeutic Institute of Naperville, LLC Physical Therapist CurrentSince Aug 11, 2015 Accepting new patients

Locations (25 of 27)

500 W Lake St
Addison, IL 60101
Phone (630) 607-1820

1057 S York Rd
Bensenville, IL 60106
Phone (630) 350-2736

383 W Army Trail Rd
Ste 100
Bloomingdale, IL 60108
Phone (630) 924-0367

790 Remington Blvd
Bolingbrook, IL 60440

1275 N Convent St
Ste 3
Bourbonnais, IL 60914
Phone (815) 936-1855

7000 Broadview Village Sq
Broadview, IL 60155
Phone (708) 865-5742

120 Burr Ridge Pkwy
Burr Ridge, IL 60527
Phone (630) 570-5025

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

7511 Lemont Rd
Ste 204
Darien, IL 60561
Phone (630) 985-4010

925 Meacham Rd
Elk Grove Vlg, IL 60007
Phone (847) 923-6858

197 E Butterfield Rd
Elmhurst, IL 60126
Phone (630) 834-0478

684 W North Ave
Elmhurst, IL 60126
Phone (630) 617-5489

800 Des Plaines Ave
Forest Park, IL 60130
Phone (708) 366-2442

460 Roosevelt Rd
Glen Ellyn, IL 60137
Phone (630) 858-8484

1 N La Grange Rd
Unit 2C
Lagrange Hlds, IL 60525
Phone (708) 698-5680

1210 State St
Ste 1212
Lemont, IL 60439

18W431 Roosevelt Rd
Lombard, IL 60148
Phone (630) 620-1511

2081 Ridge Rd
Ste 101
Minooka, IL 60447
Phone (815) 467-1612

124 W North Ave
Northlake, IL 60164
Phone (708) 731-2880

2030 York Rd
Oak Brook, IL 60523
Phone (630) 822-7444

2325 W Monroe St
Springfield, IL 62704
Phone (217) 241-0270

967 N Green Bay Rd
Waukegan, IL 60085
Phone (224) 321-5237

11223 W Cermak Rd
Westchester, IL 60154
Phone (708) 483-0005

109 W Geneva Rd
Wheaton, IL 60187
Phone (630) 784-3251

0S050 Winfield Rd
Ste 120
Winfield, IL 60190
Phone (630) 653-4743

Organizations & group practices 7

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": "1439942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1441238400000",
    "number": "1194191627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "790 REMINGTON BLVD",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604404909",
            "telephone_number": "630-296-2223",
            "fax_number": "630-759-9510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "790 REMINGTON BLVD",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604404909",
            "telephone_number": "630-296-2223",
            "fax_number": "630-759-9510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEVELL",
        "first_name": "KELSEY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-19",
        "last_updated": "2015-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070021579",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bolingbrook, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2015; 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.