Active NPI
Kelly M Carney, DPT
- Physical Therapist
- Wheaton, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 070022819
- Practice address
- 801 Butterfield Rd Ste 107
Wheaton, IL 60189-3825 - Phone
- (630) 967-2000
- NPI assigned
- Mar 1, 2010
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 032469 | NY | |
| Physical Therapist | 225100000X | 070022819 | IL | Primary |
| Physical Therapist | 225100000X | 40QA01544400 | NJ |
Addresses
Primary practice location
801 Butterfield Rd Ste 107
Wheaton, IL 60189-3825
Mailing address
PO Box 713260
Chicago, IL 60677-1260
Phone (630) 469-9200
Other practice location 1
150 E Willow Ave Ste 110
Wheaton, IL 60187-5529
Phone (630) 967-2000
Other names 1
- Kelly M Hogan
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | kcarney213983@dulyhealthandcare.direct-ci.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
329 75TH St
Willowbrook, IL 60527-2366
Phone (630) 789-0004
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 032469 | NY | MD | Pharmacist |
| 070022819 | IL | MD | Physical Therapist |
| 40QA01544400 | NJ | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Athletico LTD | Physical Therapist | Current | Accepting new patients |
| Athletico LTD | Physical Therapist | Current | Accepting new patients |
| Dupage Medical Group LTD | Physical Therapist | Current | Accepting new patients |
| Dupage Medical Group LTD | Current | Accepting new patients |
Locations
30 Stratford Dr
Bloomingdale, IL 60108
Phone (630) 893-2210
1860 Paysphere Cir
Chicago, IL 60674
Phone (630) 469-2000
6502 Joliet Rd
Ste B
Countryside, IL 60525
Phone (708) 352-0547
1294 S US Highway 12
Fox Lake, IL 60020
Phone (847) 973-9440
280 N Randall Rd
Lake in the Hills, IL 60156
Phone (847) 854-8219
300 S State St
Marengo, IL 60152
Phone (815) 568-4550
625 Enterprise Dr
Oak Brook, IL 60523
Phone (630) 575-6250
1325 N Meacham Rd
Schaumburg, IL 60173
Phone (630) 790-1700
722 N McLean Blvd
South Elgin, IL 60177
Phone (847) 695-5088
4700 Gilbert Ave
Ste 43A
Western Springs, IL 60558
Phone (708) 783-1044
801 Butterfield Rd
Ste 107
Wheaton, IL 60189
150 E Willow Ave
Ste 110
Wheaton, IL 60187
Phone (630) 545-6016
329 75th St
Willowbrook, IL 60527
Phone (630) 789-0004
Organizations & group practices 4
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.
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- Physical Therapist
- Oak Brook, IL
- NPI 1821085028
-
- Multi-Specialty Clinic/Center
- Downers Grove, IL
- NPI 1801833983
Physical Therapist
-
- Durable Medical Equipment & Medical Supplies
- Glen Ellyn, IL
- NPI 1760979447
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1267401600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1685059200000",
"number": "1598088874",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 713260",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606771260",
"telephone_number": "630-469-9200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "801 BUTTERFIELD RD STE 107",
"city": "WHEATON",
"state": "IL",
"postal_code": "601893825",
"telephone_number": "630-967-2000"
}
],
"practiceLocations": [
{
"address_1": "150 E Willow Ave Ste 110",
"address_purpose": "LOCATION",
"city": "Wheaton",
"state": "IL",
"postal_code": "601875529",
"country_code": "US",
"telephone_number": "630-967-2000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CARNEY",
"first_name": "KELLY",
"middle_name": "M",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-03-01",
"last_updated": "2023-05-26",
"certification_date": "2023-05-26",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "032469",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IL",
"license": "070022819",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NJ",
"license": "40QA01544400",
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "kcarney213983@dulyhealthandcare.direct-ci.com",
"affiliation": "N",
"address_1": "801 Butterfield Rd Ste 107",
"city": "Wheaton",
"state": "IL",
"country_code": "US",
"postal_code": "601893825",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "KELLY",
"last_name": "HOGAN",
"middle_name": "M",
"credential": "DPT",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Wheaton, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.