Active NPI
Alison Elizabeth Kennedy, PT
- Physical Therapist
- Wheaton, IL
National Provider Identifier
1245494202
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 070016330
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 12232 | NC | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vitalize Home Therapy PLLC | Physical Therapist | Current | Accepting new patients |
| Potential Unlimited LLC | Current | Accepting new patients | |
| Ark Wellness PLLC | Physical Therapist | Current | Accepting new patients |
| Physical Therapy Specialists, LLC | Physical Therapist | Past | Accepting new patients |
| Bridge the Gap Physical Therapy and Performance | Physical Therapist | Past | 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.
-
- Physical Therapist
- Wheaton, IL
- NPI 1144016171
-
- Home Health Agency
- Chicago, IL
- NPI 1811507361
-
- Physical Therapy Clinic/Center
- Conover, NC
- NPI 1144109885
Physical Therapist
-
- Physical Therapist
- Hickory, NC
- NPI 1689653594
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.