Individual provider Active NPI

Kelley C Hoyt, MS PT

  • Physical Therapist
  • Crystal Lake, IL
National Provider Identifier
1619148673
Registry record updated Apr 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
070005319 Issued in IL
Practice address
269 Liberty Rd
Crystal Lake, IL 60014-8032
Phone
(815) 893-0439
Fax
(844) 859-5959
NPI assigned
Mar 18, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2019

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 070005319 IL Primary

Addresses

Primary practice location

269 Liberty Rd
Crystal Lake, IL 60014-8032

Mailing address

105 S Van Buren St
East Dundee, IL 60118-2315
Phone (708) 670-4216

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)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
070005319ILMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1205798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554163200000",
    "number": "1619148673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 S VAN BUREN ST",
            "city": "EAST DUNDEE",
            "state": "IL",
            "postal_code": "601182315",
            "telephone_number": "708-670-4216",
            "fax_number": "224-333-5747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "269 LIBERTY RD",
            "city": "CRYSTAL LAKE",
            "state": "IL",
            "postal_code": "600148032",
            "telephone_number": "815-893-0439",
            "fax_number": "844-859-5959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOYT",
        "first_name": "KELLEY",
        "middle_name": "C",
        "name_prefix": "Mrs.",
        "credential": "MS PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-03-18",
        "last_updated": "2019-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070005319",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Crystal Lake, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.