Active NPI
Kelley Anne Newsad, PT, ATC
- Physical Therapist
- Gurnee, IL
National Provider Identifier
1306817663
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Practice address
- 30 Tower CT Ste a
Gurnee, IL 60031 - Phone
- (847) 336-1520
- Fax
- (847) 336-1098
- NPI assigned
- Jan 26, 2006
- Last updated
- Oct 4, 2019
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | Primary | ||
| Orthopedic Physical Therapist | 2251X0800X | 41174 | CA |
Addresses
Primary practice location
30 Tower CT Ste a
Gurnee, IL 60031
Mailing address
600 Oakmont LN Ste 600C
Westmont, IL 60559-5548
Phone (630) 575-6250
Other practice location 1
11468 Sorrento Valley Rd
Suite A
San Diego, CA 92121-1347
Phone (858) 457-3545
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)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bryan Schmidt Physical Therapy, Inc | Physical Therapist | Past | Accepting new patients |
| Kathleen J. Grace RPT Apc | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Golden Triangle Physical Therapy
- Sports Physical Therapist
- La Jolla, CA
- NPI 1477582542
-
- Surgical Physician Assistant
- San Diego, CA
- NPI 1740201730
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138233600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1570147200000",
"number": "1306817663",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "600 OAKMONT LN STE 600C",
"city": "WESTMONT",
"state": "IL",
"postal_code": "605595548",
"telephone_number": "630-575-6250"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30 TOWER CT STE A",
"city": "GURNEE",
"state": "IL",
"postal_code": "60031",
"telephone_number": "847-336-1520",
"fax_number": "847-336-1098"
}
],
"practiceLocations": [
{
"address_1": "11468 Sorrento Valley Rd",
"address_2": "Suite A",
"address_purpose": "LOCATION",
"city": "San Diego",
"state": "CA",
"postal_code": "921211347",
"country_code": "US",
"telephone_number": "858-457-3545",
"fax_number": "858-457-0976",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NEWSAD",
"first_name": "KELLEY",
"middle_name": "ANNE",
"credential": "PT, ATC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-01-26",
"last_updated": "2019-10-04",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": true
},
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "CA",
"license": "41174",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gurnee, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.