Active NPI
Mike Kett, M.S., P.T.
- Physical Therapist
- Woodridge, IL
National Provider Identifier
1851492912
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Practice address
- 3540 Seven Bridges Dr
Suite 240
Woodridge, IL 60517-1221 - Phone
- (630) 968-3154
- Fax
- (630) 968-3224
- NPI assigned
- Sep 25, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | IL | Primary |
Addresses
Primary practice location
3540 Seven Bridges Dr
Suite 240
Woodridge, IL 60517-1221
Mailing address
533 W North Ave
Suite 50
Elmhurst, IL 60126-2135
Phone (630) 832-6919
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
| License | State | Type | Specialty |
|---|---|---|---|
| 070002850 | IL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced Rehabilitation Clinics, Inc | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Physical Therapy Clinic/Center
- Oak Brook, IL
- NPI 1356394852
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159142400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1851492912",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "533 W NORTH AVE",
"address_2": "SUITE 50",
"city": "ELMHURST",
"state": "IL",
"postal_code": "601262135",
"telephone_number": "630-832-6919",
"fax_number": "630-832-6928"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3540 SEVEN BRIDGES DR",
"address_2": "SUITE 240",
"city": "WOODRIDGE",
"state": "IL",
"postal_code": "605171221",
"telephone_number": "630-968-3154",
"fax_number": "630-968-3224"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KETT",
"first_name": "MIKE",
"credential": "M.S., P.T.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-25",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Woodridge, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.