KELLY JUTRAS (DPT) – Physical Therapy Assistant, NPI 1093354995

KELLY JUTRAS (DPT) is a healthcare provider. based in Bolingbrook, Illinois. specializing in Physical Therapy Assistant. They hold the professional credentials DPT. They hold a License No. PT61019928 (WA). The NPI Number for KELLY JUTRAS (DPT) is 1093354995

Main info

Female
7 Years Of Experience
Accepts Medicare Assignment
Name
KELLY JUTRAS (DPT)
NPI
1093354995
Phone
Not provided
Address
790 REMINGTON BLVD
Enumeration Date
26 December 2019
Last Update Date
26 December 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4254552630
Graduation Year
2019 (7 years ago)
PAC ID
8921433947
Group Practice PAC ID
7810892072
Professional Enrollment ID
I20200122001704
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness75
Years active:6State licenses:1Digital endpointsOther names

Provider Addresses for KELLY JUTRAS (DPT)

  • 790 REMINGTON BLVD

    BOLINGBROOK, IL 604404909

    Phone:

    Type: Mailing

  • 1188 106TH AVE NE STE 100

    BELLEVUE, WA 980048612

    Phone: (425) 455-2630

    Type: Location

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.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

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

No Medicare enrollment or revalidation data available for this provider in our database.

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 60440)

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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: 7810892072View full group profile
NameSpecialtyState
BENJAMIN TAPPEN KERN (DPT)
-IL
MISS SEJAL J. GAJARAWALA (PT)
-WA
MASON WALLACE
-VA
MICHAEL MANNING
-IL
NOREEN MOHAMED (DPT)
Physical Therapist In Private PracticeNY
LINDSAY ELIZABETH TSCHACHE (DPT)
-IL
JULIE FOERSTER
-IL
TUBA SHAIKH
Physical Therapist In Private PracticeIL
DEVIN PORTER (DPT)
-IL
ARACELI RENEE SOSA (DPT)
-TX

Reviews

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Frequently asked questions

What is the registry number for KELLY JUTRAS (DPT)?
The registry entry for KELLY JUTRAS (DPT) shows NPI 1093354995.
Should I treat KELLY JUTRAS (DPT) as an active provider?
Patients and plans typically see KELLY JUTRAS (DPT) as active in the national extract.
What services align with KELLY JUTRAS (DPT)'s listing?
KELLY JUTRAS (DPT)'s public classification highlights Physical Therapy Assistant. Clinical services aligned with this taxonomy classification.
What city is tied to KELLY JUTRAS (DPT)?
The directory associates KELLY JUTRAS (DPT) with Bolingbrook, Illinois. Check all listed addresses for suites or satellite offices.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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