Active NPI
Reid Kelso Kiger, DPT
- Physical Therapist
- Chicago, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 070.028642
- Practice address
- 1640 W Roosevelt Rd # Dhsp338
Chicago, IL 60608-1316 - Phone
- (312) 413-8043
- NPI assigned
- Jul 16, 2024
- Last updated
- Sep 16, 2024
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| 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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 070.028642 | IL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Board of Trustees of the University of Illinois | Current | Accepting new patients | |
| The Board of Trustees of the University of Illinois | Physical Therapist | Current | 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.
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- Chicago, IL
- NPI 1386863819
-
dba Occupational Health Service Institute (OHSI)
- Occupational Medicine Physician
- Chicago, IL
- NPI 1043727571
-
dba College of Applied Health Sciences Faculty Practice
- Early Intervention Provider Agency
- Chicago, IL
- NPI 1174554331
Physical Therapist
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.