JONATHAN KELLEY (PT) – Physical Therapist, NPI 1033833272

JONATHAN KELLEY (PT) is a healthcare provider. based in Gurnee, Illinois. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PT. They hold a License No. 070.026953 (IL). The NPI Number for JONATHAN KELLEY (PT) is 1033833272

Main info

Male
Sole Proprietor
4 Years Of Experience
Accepts Medicare Assignment
Name
JONATHAN KELLEY (PT)
NPI
1033833272
Phone
(847) 599-9171
Address
1 S GREENLEAF ST STE I
Enumeration Date
30 September 2022
Last Update Date
30 September 2022

Doctor Profile

Medical School Name
WASHINGTON UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
8475999171
Graduation Year
2022 (4 years ago)
PAC ID
5294100251
Group Practice PAC ID
3173879186
Professional Enrollment ID
I20230405002774
Address ID
IL600315919GU495XX21XX501

Contacts

Secure Messaging
jkelley@creativerehab.net
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness85
Years active:3State licenses:1Other namesUpdated within 12 months

5,028 PHYSICAL THERAPIST IN PRIVATE PRACTICE in IL

Provider Addresses for JONATHAN KELLEY (PT)

  • 1 S GREENLEAF ST STE I

    GURNEE, IL 600313370

    Phone: (847) 599-9171

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2023-04-05

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20230405002774IPhysical Therapist In Private PracticeILTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes42028$0
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes39327$0
97530Therapy procedure using functional activities36427$0
97161Evaluation for physical therapy, typically 20 minutes1111$0
View full utilization report →

Insurance plans in this area (ZIP 60031)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3173879186View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeIL
-IL
-IL
Physical Therapist In Private PracticeIL
-IL
Physical Therapist In Private PracticeIL
Physical Therapist In Private PracticeIL
Physical Therapist In Private PracticeIL

Reviews

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Frequently asked questions

Where can patients find JONATHAN KELLEY (PT)'s NPI?
You can confirm JONATHAN KELLEY (PT) with NPI 1033833272; it appears in the national provider directory.
Is JONATHAN KELLEY (PT)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Can you summarize JONATHAN KELLEY (PT)'s specialty in plain language?
Clinically, the directory lists JONATHAN KELLEY (PT) with Physical Therapist. Clinical services aligned with this taxonomy classification.
Where does public data place JONATHAN KELLEY (PT)?
The snapshot lists Gurnee, Illinois for JONATHAN KELLEY (PT); download NPPES for the complete set.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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