Individual provider Active NPI

Reid Kelso Kiger, DPT

  • Physical Therapist
  • Chicago, IL
National Provider Identifier
1609614528
Registry record updated Sep 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
070.028642 Issued in IL
Practice address
1640 W Roosevelt Rd # Dhsp338
Chicago, IL 60608-1316
Phone
(312) 413-8043
NPI assigned
Jul 16, 2024
Last updated
Sep 16, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 070.028642 IL Primary

Addresses

Primary practice location

1640 W Roosevelt Rd # Dhsp338
Chicago, IL 60608-1316

Mailing address

1236 N Wolcott Ave Unit 2
Chicago, IL 60622-3131
Phone (816) 721-7030

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241010001329 IL Practitioner - Physical Therapist in Private Practice 6002348448 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1640 W Roosevelt Rd
Mc727
Chicago, IL 60608-1316
Phone (312) 413-1871

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
070.028642ILMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
The Board of Trustees of the University of Illinois CurrentSince Aug 5, 2024 Accepting new patients
The Board of Trustees of the University of Illinois Physical Therapist CurrentSince Aug 5, 2024 Accepting new patients
The Board of Trustees of the University of Illinois Current Accepting new patients

Locations

1640 W Roosevelt Rd
#338
Chicago, IL 60608
Phone (312) 413-8043

1640 W Roosevelt Rd
#727
Chicago, IL 60608
Phone (312) 413-1871

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1721088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726444800000",
    "number": "1609614528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1236 N WOLCOTT AVE UNIT 2",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606223131",
            "telephone_number": "816-721-7030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1640 W ROOSEVELT RD # DHSP338",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606081316",
            "telephone_number": "312-413-8043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIGER",
        "first_name": "REID",
        "middle_name": "KELSO",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-07-16",
        "last_updated": "2024-09-16",
        "certification_date": "2024-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070.028642",
            "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 Sep 16, 2024; 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.