Kelly D. Murphy DPT, L.L.C.

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

06073832 Issued in IL

Legal business name

KELLY D. MURPHY DPT, L.L.C.

Practice address

521 S la Grange Rd Ste 102
La Grange, IL 60525-5633

Phone

(708) 227-5508

Fax

(708) 252-3838

NPI assigned

Nov 20, 2017

Organization subpart

No

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

Authorized official

Name

Kelly D Murphy, DPTNPI 1538416813

Title

Member/Manager

Phone

(708) 227-5508

Specialties & licenses 1

Addresses

Other names 1

• Mend Physical Therapy Doing business as

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 2

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

• Kelly Dawn Murphy, DPT

  • Physical Therapist
  • La Grange, IL
  • NPI 1538416813
  Medicare reassignment Care Compare group NPD Authorized official
• Kristen North, DPT

  • Physical Therapist
  • Plainfield, IL
  • NPI 1710306378
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1511136000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1585872000000",
    "number": "1447764964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "736 S 6TH AVE",
            "city": "LA GRANGE",
            "state": "IL",
            "postal_code": "605256719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "521 S LA GRANGE RD STE 102",
            "city": "LA GRANGE",
            "state": "IL",
            "postal_code": "605255633",
            "telephone_number": "708-227-5508",
            "fax_number": "708-252-3838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KELLY D. MURPHY DPT, L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-20",
        "last_updated": "2020-04-03",
        "certification_date": "2020-04-03",
        "status": "A",
        "authorized_official_last_name": "MURPHY",
        "authorized_official_first_name": "KELLY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "MEMBER/MANAGER",
        "authorized_official_telephone_number": "708-227-5508",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "IL",
            "license": "06073832",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mend Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Soula Karnezis, C.R.N.A
• Burhan S Katabji, MD
• Kate Klara, LCPC, LLC
• George Katele, MD
• William A Kcomt, M.D.
• Claudia Kelly, LCSW
• Sara Kenney, MD
• Samir Khowaja
• Emily Kinas
• Elizabeth Nguyen Kirchoff, D.O.

• Physical Therapy Clinic/Center in La Grange, IL
• Providers in La Grange, IL by specialty
• Physical Therapy Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2020; 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.