MARY KELLY PT
NPI 1073590212
Physical Therapist - Pediatrics in St Charles, IL

Q: What is Mary Kelly's NPI number?

The NPI number for Mary Kelly is 1073590212. It was assigned to this individual provider in the NPPES registry on December 29, 2005. The provider is also known as Mary Jeffries Pt.

Q: What is Mary Kelly's specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Pediatrics, with taxonomy code 2251P0200X.

Q: When was this NPI record last updated?

The NPPES record for Mary Kelly was last updated on June 15, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since December 29, 2005Accepts Medicare Assignment

3381 W MAIN ST STE 1, ST CHARLES, IL 60175(630) 549-0511(630) 549-0512 Get Directions Write a Review

NPPES record last updated: June 15, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Mary Kelly Pt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARY KELLY PT (NPI 1073590212) is an individual pediatrics provider in St Charles, Illinois, licensed in Illinois (070-011761) and active in the NPI registry since December 2005. She is a graduate of Other (1993).

NPPES Registry Identity

NPI1073590212

Entity TypeIndividualFemale

Primary Taxonomy2251P0200X

Provider Legal NameMARY KELLYCredential: PT

Location Address3381 W MAIN ST STE 1St Charles, IL 60175-1008

Mailing Address3381 W Main St Ste 1St Charles, IL 60175-1008 · (630) 549-0511 · Fax (630) 549-0512

Phone(630) 549-0511

Fax(630) 549-0512

Sole ProprietorNo

Medical School CMSOtherGraduated 1993

Enumeration DateDecember 29, 2005

Last NPPES UpdateJune 15, 2022

NPPES CertifiedJune 15, 2022

✔ NPI 1073590212 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical Therapist · PediatricsRespiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy Code2251P0200X

License✔ Licensed in IL · 070-011761

Definition

A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development, genetics, biomechanics, neurological function, neuroscience, and pathology, behavioral sciences, and understanding of diseases or conditions that necessitate physical therapy care, that affect systems that in turn necessitate physical therapy care (comorbidities), and that influence the type of intervention that can be given.

3381 W MAIN ST STE 1, St Charles, IL 60175

Open in Google Maps ↗

Other Names 1

Former Name (1)Mary Jeffries Pt

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mary Kelly Pt is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8022036748

PECOS Enrollment IDI20051110000483

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Therapy procedure using manual technique, each 15 minutes 97140

This therapy involves using hands-on techniques to help improve your body's movement and function. These techniques may include stretching, resistance exercises, or gentle pressure. Each session lasts 15 minutes and aims to relieve pain, promote healing, and improve your overall health.

205 services24 patients

Therapy procedure using functional activities 97530

A therapy procedure using functional activities encourages you to use your own body movements in day-to-day tasks to aid recovery. It aims to improve your mobility, strength, and overall health by incorporating therapeutic exercises into your routine.

191 services21 patients

Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes 97110

This therapy involves exercises to boost strength, endurance, flexibility, and range of motion. Each session lasts 15 minutes. The goal is to improve physical function and overall health. It's a safe, beneficial method for enhancing well-being and fitness.

190 services24 patients

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DAYNA PERRY PT, DPT

Physical Therapist

3381 W MAIN ST STE 1
ST CHARLES, IL 60175

Kane County (630) 549-0511

FOX VALLEY PHYSICAL THERAPY AND WELLNESS,LLC

Physical Therapist

3381 W MAIN ST STE 1
SAINT CHARLES, IL 60175

Kane County (630) 549-0511

JACOB SMITH

Physical Therapist

3381 W MAIN ST STE 1
SAINT CHARLES, IL 60175

Kane County (630) 649-0511

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 Mary Kelly's NPI number?

The NPI number for Mary Kelly is 1073590212. It was assigned to this individual provider in the NPPES registry on December 29, 2005. The provider is also known as Mary Jeffries Pt.

Where is Mary Kelly located?

Mary Kelly practices at 3381 W Main St Ste 1, St Charles, IL 60175. The listed phone number is (630) 549-0511.

What is Mary Kelly's specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Pediatrics, with taxonomy code 2251P0200X.

Is Mary Kelly enrolled in Medicare?

Yes. Mary Kelly is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Mary Kelly was last updated on June 15, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.