Kathryn Marie Connelly, PT
Individual provider Active NPI Physical Therapist · Lake Bluff, IL
NPI 1750540969 · NPPES record last updated Jan 10, 2019
Key facts
- NPI
- 1750540969
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 070010013 (IL)
- Practice address
- 233 Waukegan Rd
Lake Bluff, IL 60044-1666 - Phone
- (847) 732-8104
- NPI assigned
- Jun 3, 2008
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Saint Louis University School of Medicine, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Athletico LTD
Practice addresses (Care Compare)
233 Waukegan Rd
Lake Bluff, IL 60044-1666
Phone (847) 735-8104
722 N McLean Blvd
South Elgin, IL 60177-1429
Phone (847) 695-5088
Merit-based Incentive Payment System (MIPS)
- Final score
- 86.32 of 100
- Quality
- 84.44
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 70.78
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20140403000628 | IL | Practitioner - Physical Therapist in Private Practice | 6507097698 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 070010013 | IL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Athletico LTD | Physical Therapist | Current |
Accepting new patients |
| Athletico LTD | Physical Therapist | Current |
Accepting new patients |
Locations
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
233 Waukegan Rd
Lake Bluff, IL 60044
Phone (847) 482-9990
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
722 N McLean Blvd
South Elgin, IL 60177
Phone (847) 695-5088
600 Oakmont Ln
Ste 600C
Westmont, IL 60559
Phone (630) 575-6250
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 070010013 | IL | Yes |
Addresses
Primary practice location
233 Waukegan Rd
Lake Bluff, IL 60044-1666
Mailing address
600 Oakmont LN Ste 600C
Westmont, IL 60559-5548
Phone (630) 575-6200
Other providers in Lake Bluff, IL
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- Adam K Cohan
- Condell Medical Center Home Medical Equipment
- Condell Medical Center Home Pharmacy
- Annalyn Cabilangan Constantine
- Joseph Reed Cook
- Patricia Cordoba
- Corri Ferdman LCSW LLC
- Susan Cortes
All providers in Lake Bluff, IL · Physical Therapist in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 10, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.