Individual provider Active NPI

Alison Elizabeth Kennedy, PT

  • Physical Therapist
  • Wheaton, IL
National Provider Identifier
1245494202
Registry record updated Aug 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
070016330 Issued in IL
Practice address
2238 Stonegate LN
Wheaton, IL 60189-7809
Phone
(202) 257-5289
NPI assigned
Jul 17, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 23, 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 070016330 IL Primary

Addresses

Primary practice location

2238 Stonegate LN
Wheaton, IL 60189-7809

Mailing address

2238 Stonegate LN
Wheaton, IL 60189-7809
Phone (202) 257-5289

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230912001288 IL Practitioner - Physical Therapist in Private Practice 7719018431 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vitalize Home Therapy PLLCGroup PAC ID 7416359070, 3 clinicians

Practice addresses (Care Compare)

5140 N Oakley Ave
Chicago, IL 60625-1847
Phone (773) 573-4443

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12232NCMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Vitalize Home Therapy PLLC Physical Therapist CurrentSince Aug 29, 2023 Accepting new patients
Potential Unlimited LLC CurrentSince Aug 29, 2023 Accepting new patients
Ark Wellness PLLC Physical Therapist CurrentSince Apr 20, 2025 Accepting new patients
Physical Therapy Specialists, LLC Physical Therapist PastSince Mar 29, 2004 Accepting new patients
Bridge the Gap Physical Therapy and Performance Physical Therapist PastSince Nov 10, 2025 Accepting new patients

Organizations & group practices 5

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": "1216252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692748800000",
    "number": "1245494202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2238 STONEGATE LN",
            "city": "WHEATON",
            "state": "IL",
            "postal_code": "601897809",
            "telephone_number": "202-257-5289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2238 STONEGATE LN",
            "city": "WHEATON",
            "state": "IL",
            "postal_code": "601897809",
            "telephone_number": "202-257-5289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENNEDY",
        "first_name": "ALISON",
        "middle_name": "ELIZABETH",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-17",
        "last_updated": "2023-08-23",
        "certification_date": "2023-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070016330",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wheaton, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2023; 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.