Individual provider Active NPI

Kelly Aldrich, DPT

  • Physical Therapist
  • Chicago, IL
National Provider Identifier
1992545933
Registry record updated May 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
070028296 Issued in IL
Practice address
5151 N Broadway St
Chicago, IL 60640-3009
Phone
(773) 784-9406
NPI assigned
May 28, 2024
Last updated
May 28, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 28, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 070028296 IL Primary

Addresses

Primary practice location

5151 N Broadway St
Chicago, IL 60640-3009

Mailing address

30728 Running Fox TRL
Burlington, WI 53105-8966
Phone (262) 210-4199

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240704000340 IL Practitioner - Physical Therapist in Private Practice 7911441647 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rci (WRS) LLCGroup PAC ID 5092624510, 325 clinicians

Practice addresses (Care Compare)

5151 N Broadway St
Chicago, IL 60640-3009
Phone (773) 784-9406

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
070028296ILMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Rci (WRS), LLC. Physical Therapist Current Accepting new patients
Rci (WRS), LLC CurrentSince Jun 1, 2024 Accepting new patients
Rci (WRS), LLC. CurrentSince Jun 1, 2024 Accepting new patients

Locations

5151 N Broadway St
Chicago, IL 60640
Phone (773) 784-9406

5151 N Broadway St
Ste 108
Chicago, IL 60640
Phone (773) 784-9406

826 W Touhy Ave
Park Ridge, IL 60068
Phone (847) 720-4165

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1716854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716854400000",
    "number": "1992545933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30728 RUNNING FOX TRL",
            "city": "BURLINGTON",
            "state": "WI",
            "postal_code": "531058966",
            "telephone_number": "262-210-4199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5151 N BROADWAY ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606403009",
            "telephone_number": "773-784-9406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALDRICH",
        "first_name": "KELLY",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-05-28",
        "last_updated": "2024-05-28",
        "certification_date": "2024-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070028296",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2024; 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.