KELLY STANCZAK DPT
NPI 1003049073
Physical Therapist in Lake Forest, IL

Active since August 25, 2009
92.76/100
CMS Quality Rating
225 E DEERPATH, LAKE FOREST, IL 60045(847) 482-1433(847) 482-1483 Get Directions Write a Review

NPPES record last updated: July 28, 2017. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 28, 2017, Jan 20, 2016 (2 updates tracked since 2016).

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

NPI1003049073
Entity TypeIndividualFemale
Primary Taxonomy225100000X
Provider Legal NameKELLY STANCZAKCredential: DPT
Location Address225 E DEERPATHLake Forest, IL 60045-1952
Mailing Address625 Enterprise Dr.Oak Brook, IL 60523-8813 · (630) 575-6250 · Fax (630) 575-7450
Fax(847) 482-1483
Sole ProprietorNo
Enumeration DateAugust 25, 2009
Last NPPES UpdateJuly 28, 20172 updates tracked since enumeration
✔ NPI 1003049073 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
License✔ Licensed in IL · 070-017373
Definition
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:
  • 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.
PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.
225 E DEERPATH, Lake Forest, IL 60045

Other Names 1

Former Name (1)Kelly Shields

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.

Physical Therapist
2122 YORK RD STE 300
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.

92.76/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality91.48
Improvement Activities40

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.

Physical Therapist
225 E DEERPATH, SUITE 130
LAKE FOREST, IL 60045
Physical Therapist
225 E DEERPATH, SUITE 130
LAKE FOREST, IL 60045
Chiropractor (Nutrition)
225 E DEERPATH, #132
LAKE FOREST, IL 60045
Social Worker
225 E DEERPATH
LAKE FOREST, IL 60045
Physical Therapist
225 E DEERPATH, SUITE 130
LAKE FOREST, IL 60045
Dermatology
225 E DEERPATH
LAKE FOREST, IL 60045
Social Worker (Clinical)
225 E DEERPATH, SUITE 280
LAKE FOREST, IL 60045
Counselor (Professional)
225 E DEERPATH, SUITE 280
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.