KELLY STANCZAK DPT
NPI 1003049073
Physical Therapist in Lake Forest, IL
About Kelly Stanczak Dpt NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KELLY STANCZAK DPT (NPI 1003049073) is an individual physical therapist in Lake Forest, Illinois, licensed in Illinois (070-017373) and active in the NPI registry since August 2009.
NPPES Registry Identity
Specialties & Licenses
- Diagnose and manage movement dysfunction and enhance physical and functional abilities.
- Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
- Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
- Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
- Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
Other Names 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Kelly Stanczak Dpt is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Kelly Stanczak reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Oak Brook, IL 60523
- Reassigned Medicare billing, Illinois enrollment
- 1,298 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES 8
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
LAKE FOREST, IL 60045
LAKE FOREST, IL 60045
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Kelly Stanczak's NPI number?
The NPI number for Kelly Stanczak is 1003049073. It was assigned to this individual provider in the NPPES registry on August 25, 2009. The provider is also known as Kelly Shields.
Where is Kelly Stanczak located?
Kelly Stanczak practices at 225 E Deerpath, Lake Forest, IL 60045. The listed phone number is (847) 482-1433.
What is Kelly Stanczak's specialty?
The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.
Is Kelly Stanczak enrolled in Medicare?
Yes. Kelly Stanczak is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Kelly Stanczak's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kelly Stanczak reassigns Medicare benefits to Athletico Ltd (Oak Brook, IL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kelly Stanczak's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kelly Stanczak accept?
Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from NH Healthy Families and Ambetter from Sunflower Health Plan list Kelly Stanczak as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Kelly Stanczak was last updated on July 28, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.