Active NPI
Kelly Stone, AT
- Sports Medicine (Physical Medicine & Rehabilitation) Physician
- Buffalo Grove, IL
National Provider Identifier
1750916268
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Medicine (Physical Medicine & Rehabilitation) Physician
- License
- 096.003114
- Practice address
- 1100 W Dundee Rd
Buffalo Grove, IL 60089-4054 - Phone
- (847) 718-4167
- NPI assigned
- Mar 4, 2020
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Sports Medicine (Physical Medicine & Rehabilitation) Physician | 2081S0010X | 096.003114 | IL | Primary |
Addresses
Primary practice location
1100 W Dundee Rd
Buffalo Grove, IL 60089-4054
Mailing address
1100 W Dundee Rd
Buffalo Grove, IL 60089-4054
Phone (847) 718-4167
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 096.003114 | IL | MD | Sports Medicine (Physical Medicine & Rehabilitation) Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1583280000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1583280000000",
"number": "1750916268",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1100 W DUNDEE RD",
"city": "BUFFALO GROVE",
"state": "IL",
"postal_code": "600894054",
"telephone_number": "847-718-4167"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1100 W DUNDEE RD",
"city": "BUFFALO GROVE",
"state": "IL",
"postal_code": "600894054",
"telephone_number": "847-718-4167"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STONE",
"first_name": "KELLY",
"credential": "AT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-03-04",
"last_updated": "2020-03-04",
"certification_date": "2020-03-04",
"status": "A"
},
"taxonomies": [
{
"code": "2081S0010X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation, Sports Medicine",
"state": "IL",
"license": "096.003114",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Buffalo Grove, IL
- Gregg Stern, D.C.
- Steven Ciolino P.C.
- Katherine Elizabeth Stevens, PH.D.
- Scott Stolarick, LCPC
- Alex Zachary Stoller, MS, RDN
- Jennifer Stotlar, ND, CNS, LDN
- Ryan Stover, PT, MPT, CSCS
- Alex Striltschuk, DDS
- Thomas Morgan Sullivan, ATC
- Sunrise Buffalo Gove Assisted Living, LL (Sunrise of Buffalo Grove)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.