Individual provider Active NPI

Kevin Whalen, DPT

  • Physical Therapist
  • Naperville, IL
National Provider Identifier
1679204234
Registry record updated Jun 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
1960 Springbrook Square Dr Ste 102
Naperville, IL 60564-5958
Phone
(630) 637-9955
NPI assigned
Jun 23, 2022
Last updated
Jun 23, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 23, 2022

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 Primary

Addresses

Primary practice location

1960 Springbrook Square Dr Ste 102
Naperville, IL 60564-5958

Mailing address

17392 Highwood Dr
Orland Park, IL 60467-6055
Phone (708) 557-5556

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230922003343 IL Practitioner - Physical Therapist in Private Practice 5294189312 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Three Point Healthcare LLCGroup PAC ID 9133484694, 26 clinicians

Practice addresses (Care Compare)

19805 S la Grange Rd
Mokena, IL 60448-8348
Phone (708) 938-3378

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Three Point Healthcare LLC Physical Therapist CurrentSince Jul 18, 2024 Accepting new patients
Activa Physical Therapy Inc. CurrentSince Sep 11, 2023 Accepting new patients
Anthony J Martino SC CurrentSince Jul 18, 2024 Accepting new patients

Locations

7416 S County Line Rd
Ste Bc
Burr Ridge, IL 60527
Phone (630) 601-6192

2225 W North Ave
Ste I
Melrose Park, IL 60160
Phone (708) 345-8255

19805 S La Grange Rd
Mokena, IL 60448
Phone (708) 938-3378

1960 Springbrook Square Dr
Ste 102
Naperville, IL 60564
Phone (630) 637-9955

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": "1655942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655942400000",
    "number": "1679204234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17392 HIGHWOOD DR",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604676055",
            "telephone_number": "708-557-5556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1960 SPRINGBROOK SQUARE DR STE 102",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605645958",
            "telephone_number": "630-637-9955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHALEN",
        "first_name": "KEVIN",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-06-23",
        "last_updated": "2022-06-23",
        "certification_date": "2022-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naperville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2022; 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.