Jacquelyn Cameli, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

Practice address

22W600 Butterfield Rd
Glen Ellyn, IL 60137-6901

Phone

(630) 942-5600

NPI assigned

Mar 25, 2024

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Specialty

Physical Therapist in Private Practice

Education

Other, 2022

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Cooperative Assoc for Spec Ed

  • Local Education Agency (LEA)
  • Glen Ellyn, IL
  • NPI 1225167810
  NPD (past)
• Glen Ellyn C C School Dist 89

  • Local Education Agency (LEA)
  • Glen Ellyn, IL
  • NPI 1144498957
  NPD (past)

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

{
    "created_epoch": "1711324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711324800000",
    "number": "1235989229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8186 CHAPMAN CT",
            "city": "DARIEN",
            "state": "IL",
            "postal_code": "605615096",
            "telephone_number": "630-432-1222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22W600 BUTTERFIELD RD",
            "city": "GLEN ELLYN",
            "state": "IL",
            "postal_code": "601376901",
            "telephone_number": "630-942-5600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMELI",
        "first_name": "JACQUELYN",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-03-25",
        "last_updated": "2024-03-25",
        "certification_date": "2024-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrea Burkly, LCPC
• Mary Beth Bush, PT
• Kathryn Nicole Caccamo
• Shannon Marie Cagle, LCPC
• Yazmin Camarena, M.S.
• Robert K Campbell, D.O.
• Mary Lynn Cankar
• Daniel Cano, DC
• Lisa Capps
• Care Hub LLC

• Physical Therapist in Glen Ellyn, IL
• Providers in Glen Ellyn, IL by specialty
• Physical Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.