Individual provider Active NPI

Kellie L Knox, PT

  • Physical Medicine & Rehabilitation Physician
  • Geneva, IL
National Provider Identifier
1790735165
Registry record updated Jan 10, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
070007933 Issued in IL
Practice address
2700 Keslinger Rd
Suite C
Geneva, IL 60134-4645
Phone
(630) 262-2633
Fax
(630) 262-2643
NPI assigned
May 10, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 070007933 IL Primary

Addresses

Primary practice location

2700 Keslinger Rd
Suite C
Geneva, IL 60134-4645

Mailing address

PO Box 6013
St Charles, IL 60174-6013
Phone (630) 466-9240

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060601000228 IL Practitioner - Physical Therapist in Private Practice 7315958576 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Attentive Individualized Management Physical Therapy, LLCGroup PAC ID 5395091581, 10 clinicians

Practice addresses (Care Compare)

1605 W Wilson St
Suite 119
Batavia, IL 60510-2999
Phone (630) 777-3141

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
070007933ILMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Attentive Individualized Management Physical Therapy, LLC CurrentSince Mar 26, 2022 Accepting new patients
Carla Thomas Physical Therapy LLC CurrentSince Sep 1, 2020 Accepting new patients
Ivyrehab Physical Therapy, Occupational Therapy & Speech Language Path CurrentSince Mar 1, 2017 Accepting new patients
Ivyrehab Physical Therapy, Occupational Therapy & Speech Language Pathology, PLLC Physical Medicine & Rehabilitation CurrentSince Mar 1, 2017 Accepting new patients

Locations

1605 W Wilson St
Ste 119
Batavia, IL 60510
Phone (630) 389-7767

204 E Washington St
Clinton, IL 61727
Phone (217) 570-0225

5255 E Maryland St
Decatur, IL 62521
Phone (217) 864-1264

2700 Keslinger Rd
Ste C
Geneva, IL 60134
Phone (630) 262-2633

799 Central Ave
Ste 210
Highland Park, IL 60035
Phone (847) 433-5502

303 N 2nd St
Ste A
St Charles, IL 60174
Phone (331) 235-5024

330 Division Dr
Sugar Grove, IL 60554
Phone (630) 777-3141

38 S Main St
Apt A
Sugar Grove, IL 60554
Phone (630) 466-5866

1377 Motor Pkwy
Ste 307
Ronkonkoma, NY 11749

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1147219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484006400000",
    "number": "1790735165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6013",
            "city": "ST CHARLES",
            "state": "IL",
            "postal_code": "601746013",
            "telephone_number": "630-466-9240",
            "fax_number": "630-262-2643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 KESLINGER RD",
            "address_2": "SUITE C",
            "city": "GENEVA",
            "state": "IL",
            "postal_code": "601344645",
            "telephone_number": "630-262-2633",
            "fax_number": "630-262-2643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNOX",
        "first_name": "KELLIE",
        "middle_name": "L",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-10",
        "last_updated": "2017-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "IL",
            "license": "070007933",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Geneva, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2017; 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.