Individual provider Active NPI

Jessica Kerr, PT, DPT

  • Pediatric Physical Therapist
  • Chicago, IL
National Provider Identifier
1447808928
Registry record updated Aug 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Physical TherapistTaxonomy code 2251P0200X
License
070.024618 Issued in IL
Practice address
2506 N Clark St Ste 158
Chicago, IL 60614-1848
Phone
(312) 278-0022
NPI assigned
Aug 28, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Physical Therapist 2251P0200X 070.024618 IL Primary

Addresses

Primary practice location

2506 N Clark St Ste 158
Chicago, IL 60614-1848

Mailing address

4022 W Newport Ave
Chicago, IL 60641-4021
Phone (859) 496-1799

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Chicago

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220221000007 IL Practitioner - Physical Therapist in Private Practice 7517350135 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
070.024618ILMDPediatric Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Allied Therapy Partners, LLC. Pediatrics CurrentSince Jan 14, 2022 Accepting new patients

Organizations & group practices 1

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": "1566950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566950400000",
    "number": "1447808928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4022 W NEWPORT AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606414021",
            "telephone_number": "859-496-1799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2506 N CLARK ST STE 158",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606141848",
            "telephone_number": "312-278-0022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KERR",
        "first_name": "JESSICA",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-28",
        "last_updated": "2019-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "IL",
            "license": "070.024618",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Chicago",
            "affiliation": "N",
            "endpointDescription": "Company URL",
            "address_1": "2506 N Clark St Ste 158",
            "city": "Chicago",
            "state": "IL",
            "country_code": "US",
            "postal_code": "606141848",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2019; 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.