Individual provider Active NPI

Kelsey Carolan Treaster, PT, DPT

  • Physical Therapist
  • Niles, IL
National Provider Identifier
1194369132
Registry record updated Nov 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
7900 N Milwaukee Ave Ste 7
Niles, IL 60714-3172
Phone
(847) 595-1945
NPI assigned
Nov 2, 2019
Last updated
Nov 15, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2023

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 NU Primary

Addresses

Primary practice location

7900 N Milwaukee Ave Ste 7
Niles, IL 60714-3172

Mailing address

1008 Kent Ave
Park Ridge, IL 60068-5118
Phone (847) 863-2177

Other practice location 1

542 16th St
Rawlins, WY 82301-5241
Phone (307) 324-2759

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1572652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700006400000",
    "number": "1194369132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1008 KENT AVE",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "600685118",
            "telephone_number": "847-863-2177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7900 N MILWAUKEE AVE STE 7",
            "city": "NILES",
            "state": "IL",
            "postal_code": "607143172",
            "telephone_number": "847-595-1945"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "542 16th St",
            "address_purpose": "LOCATION",
            "city": "Rawlins",
            "state": "WY",
            "postal_code": "823015241",
            "country_code": "US",
            "telephone_number": "307-324-2759",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TREASTER",
        "first_name": "KELSEY",
        "middle_name": "CAROLAN",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-02",
        "last_updated": "2023-11-15",
        "certification_date": "2023-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Niles, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.