Individual provider Active NPI

Kelly M Carney, DPT

  • Physical Therapist
  • Wheaton, IL
National Provider Identifier
1598088874
Registry record updated May 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
070022819 Issued in IL
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

Updated by the provider on May 26, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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 Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kcarney213983@dulyhealthandcare.direct-ci.com

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170220001944 IL Practitioner - Physical Therapist in Private Practice 5890823744 Reassigns benefits to 2 organizations

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
Athletico LTDGroup PAC ID 4789602681, 2,187 clinicians

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

LicenseStateTypeSpecialty
032469NYMDPharmacist
070022819ILMDPhysical Therapist
40QA01544400NJMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Athletico LTD Physical Therapist CurrentSince Feb 14, 2017 Accepting new patients
Athletico LTD Physical Therapist CurrentSince Feb 14, 2017 Accepting new patients
Dupage Medical Group LTD Physical Therapist CurrentSince Sep 9, 2025 Accepting new patients
Dupage Medical Group LTD CurrentSince Sep 9, 2025 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.

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.

Verify at the official NPI Registry.