KELLY TODD (DPT) – Physical Therapist, NPI 1285778340

KELLY TODD (DPT) is a healthcare provider. based in St charles, Illinois. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials DPT. They hold a License No. 070013917 (IL). The NPI Number for KELLY TODD (DPT) is 1285778340

Main info

Female
23 Years Of Experience
Accepts Medicare Assignment
Name
KELLY TODD (DPT)
NPI
1285778340
Phone
(630) 762-1810
Address
1820 W MAIN ST
Enumeration Date
20 February 2007
Last Update Date
21 December 2011

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8478548219
Graduation Year
2003 (23 years ago)
PAC ID
4688820400
Group Practice PAC ID
4789602681
Professional Enrollment ID
I20120810000328
Address ID
IL601565903LA280XXRDXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

5,030 PHYSICAL THERAPIST IN PRIVATE PRACTICE in IL

Provider Addresses for KELLY TODD (DPT)

  • 1820 W MAIN ST

    ST CHARLES, IL 601741634

    Phone: (630) 762-1810

    Fax: (630) 762-1230

    Type: Location

  • 280 N RANDALL RD

    LAKE IN THE HILLS, IL 601565903

    Phone:

    Type: Mailing

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: 2012-08-10

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
I20120810000328IPhysical 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 minutes1,738179$0
97530Therapy procedure using functional activities1,147142$0
97140Therapy procedure using manual technique, each 15 minutes851134$0
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes791139$0
97162Evaluation for physical therapy, typically 30 minutes4541$0
View full utilization report →

Insurance plans in this area (ZIP 60174)

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Provider's Procedures

KELLY TODD (DPT) performs procedures in PHYSICAL THERAPIST IN PRIVATE PRACTICE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PHYSICAL THERAPYIL97001Physical therapy evaluation8069

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: 4789602681View full group profile
NameSpecialtyState
-IL
Physical Therapist In Private PracticeIL
-IL
-IL
Physical Therapist In Private PracticeVA
-MI
-IL
Physical Therapist In Private PracticeAZ
Physical Therapist In Private PracticeIL
-MI

Reviews

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Frequently asked questions

What NPI should I save for KELLY TODD (DPT)?
Save NPI 1285778340 if you need a stable reference for KELLY TODD (DPT).
Is KELLY TODD (DPT) active in the national directory?
KELLY TODD (DPT)'s public NPI profile is in an active state.
Can you summarize KELLY TODD (DPT)'s specialty in plain language?
Clinically, the directory lists KELLY TODD (DPT) with Physical Therapist. Clinical services aligned with this taxonomy classification.
What location metadata exists for KELLY TODD (DPT)?
The page summarizes St Charles, Illinois for KELLY TODD (DPT); expand the address list for detail.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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