MR. KYLE KELLY (PTA) – Physical Therapy Assistant, NPI 1417339086

MR. KYLE KELLY (PTA) is a healthcare provider. based in Mokena, Illinois. specializing in Physical Therapy Assistant. They hold the professional credentials PTA. They hold a License No. 160007018 (IL). The NPI Number for MR. KYLE KELLY (PTA) is 1417339086

Main info

Male
Name
MR. KYLE KELLY (PTA)
NPI
1417339086
Phone
(847) 909-7803
Address
19647 THERESE LN
Enumeration Date
19 June 2015
Last Update Date
19 June 2015
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness75
Years active:10State licenses:1Digital endpointsOther names

Provider Addresses for MR. KYLE KELLY (PTA)

  • 19647 THERESE LN

    MOKENA, IL 604481752

    Phone: (847) 909-7803

    Type: Mailing

  • 12550 S RIDGELAND AVE

    PALOS HEIGHTS, IL 604631859

    Phone: (708) 597-9300

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

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Medicare Enrollment & Revalidation

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

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Medicare Utilization (FFS)

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

Insurance plans in this area (ZIP 60448)

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Frequently asked questions

Can I cross-check MR. KYLE KELLY (PTA) using NPI 1417339086?
NPI 1417339086 belongs to MR. KYLE KELLY (PTA); compare other details if you need extra assurance.
Is there an active status for MR. KYLE KELLY (PTA)?
For scheduling context, MR. KYLE KELLY (PTA) is shown as active in the registry.
What clinical focus is listed for MR. KYLE KELLY (PTA)?
At a glance, MR. KYLE KELLY (PTA) is tied to Physical Therapy Assistant. Clinical services aligned with this taxonomy classification.
What locale is associated with MR. KYLE KELLY (PTA)?
Directory geography for MR. KYLE KELLY (PTA) centers on Mokena, Illinois.
When was this NPI issued?
Enumeration for MR. KYLE KELLY (PTA) is noted as June 19, 2015 where the registry provides it.

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