Active NPI
Kelly Daly
- Massage Therapist
- Chicago, IL
National Provider Identifier
1477363950
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 227014802
- Practice address
- 770 N Lasalle Dr
Suite 800
Chicago, IL 60654 - Phone
- (312) 321-0004
- NPI assigned
- Jan 8, 2025
- Last updated
- Jan 8, 2025
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 227014802 | IL | Primary |
Addresses
Primary practice location
770 N Lasalle Dr
Suite 800
Chicago, IL 60654
Mailing address
10759 S Washtenaw Ave
Chicago, IL 60655-1728
Phone (773) 383-1507
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 227014802 | IL | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1736294400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1736294400000",
"number": "1477363950",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10759 S WASHTENAW AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606551728",
"telephone_number": "773-383-1507"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "770 N LASALLE DR",
"address_2": "SUITE 800",
"city": "CHICAGO",
"state": "IL",
"postal_code": "60654",
"telephone_number": "312-321-0004"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DALY",
"first_name": "KELLY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-01-08",
"last_updated": "2025-01-08",
"certification_date": "2025-01-07",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "IL",
"license": "227014802",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"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 Jan 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.