Active NPI
Kelsey Persels
- Physical Therapist
- Mt Prospect, IL
National Provider Identifier
1891260352
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 070023877
- Practice address
- 127 W Prospect Ave
Mt Prospect, IL 60056-3135 - Phone
- (847) 255-2348
- NPI assigned
- Oct 10, 2018
- Sex
- Female
- Sole proprietor
- Yes
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 | 070023877 | IL | Primary |
Addresses
Primary practice location
127 W Prospect Ave
Mt Prospect, IL 60056-3135
Mailing address
127 W Prospect Ave
Mt Prospect, IL 60056-3135
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1539129600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1539129600000",
"number": "1891260352",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "127 W PROSPECT AVE",
"city": "MT PROSPECT",
"state": "IL",
"postal_code": "600563135"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "127 W PROSPECT AVE",
"city": "MT PROSPECT",
"state": "IL",
"postal_code": "600563135",
"telephone_number": "847-255-2348"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PERSELS",
"first_name": "KELSEY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-10-10",
"last_updated": "2018-10-10",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IL",
"license": "070023877",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mt Prospect, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.