Organization Active NPI

K & K Physical Therapy LLC

  • Physical Therapist
  • Willowbrook, IL
National Provider Identifier
1376392589
Registry record updated May 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
K & K PHYSICAL THERAPY LLC
Doing business as
ELITE PHYSICAL THERAPY CLINIC
Practice address
6900 S Madison St
Willowbrook, IL 60527-5510
Phone
(630) 986-1177
NPI assigned
May 20, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 20, 2024

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

Authorized official

Name
Ms. Sonal ChoudharyNPI 1285982207
Title
President
Phone
(312) 953-9006

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

6900 S Madison St
Willowbrook, IL 60527-5510

Mailing address

6718 Fieldstone Dr
Burr Ridge, IL 60527-5297
Phone (312) 953-9006

Other names 1

  • ELITE PHYSICAL THERAPY CLINIC Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240925000250 IL Part B Supplier - Physical/Occupational Therapy Group in Private Practice 9931640349 Receives reassigned benefits from 1 practitioner
Practice locations: Willowbrook, IL

National Provider Directory

National Provider Directory

Locations

6900 S Madison St
Ste 101A
Willowbrook, IL 60527
Phone (630) 299-5870

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1716163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716163200000",
    "number": "1376392589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6718 FIELDSTONE DR",
            "city": "BURR RIDGE",
            "state": "IL",
            "postal_code": "605275297",
            "telephone_number": "312-953-9006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6900 S MADISON ST",
            "city": "WILLOWBROOK",
            "state": "IL",
            "postal_code": "605275510",
            "telephone_number": "630-986-1177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "K & K PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-20",
        "last_updated": "2024-05-20",
        "certification_date": "2024-05-19",
        "status": "A",
        "authorized_official_last_name": "CHOUDHARY",
        "authorized_official_first_name": "SONAL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "312-953-9006",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ELITE PHYSICAL THERAPY CLINIC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Willowbrook, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.