KELLEY WILSON DPT
NPI 1114789401
Physical Therapist in Chicago, IL

Active since January 23, 2024Accepts Medicare Assignment
1611 W HARRISON ST STE 107, CHICAGO, IL 60612(877) 632-6637(708) 409-5179 Get Directions Write a Review

NPPES record last updated: January 30, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Kelley Wilson Dpt NPPES

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

KELLEY WILSON DPT (NPI 1114789401) is an individual physical therapist in Chicago, Illinois, licensed in Illinois (070027807) and active in the NPI registry since January 2024. She maintains a secondary practice location in Munster and is a graduate of Other (2023).

NPPES Registry Identity

NPI1114789401
Entity TypeIndividualFemale
Primary Taxonomy225100000X
Provider Legal NameKELLEY WILSONCredential: DPT
Location Address1611 W HARRISON ST STE 107Chicago, IL 60612-4861
Mailing Address1611 W Harrison St Ste 107Chicago, IL 60612-4861 · (877) 632-6637 · Fax (708) 409-5179
Fax(708) 409-5179
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateJanuary 23, 2024
Last NPPES UpdateJanuary 30, 2024
NPPES CertifiedJanuary 30, 2024
NPI 1114789401 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
Licenses Licensed in IL · 070027807 Licensed in IN · 05015428A
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:<ul><li>Diagnose and manage movement dysfunction and enhance physical and functional abilities.</li><li>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.</li><li>Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.</li><li>Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.</li><li>Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.</li></ul>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.

1611 W HARRISON ST STE 107, Chicago, IL 60612

Secondary Practice Location 1

Location 19200 Calumet Ave Ste 300Munster, IN 46321-2885 · Phone (877) 632-6637

Accepted Insurance

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

Kelley Wilson Dpt 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 ID9638512734
PECOS Enrollment IDI20240206001248, I20240216002237

Areas of Expertise CMS Part B claims 2

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 for walking training, each 15 minutes 97116
Walking training therapy is a process to improve your ability to walk. It's a 15-minute session where you'll practice walking with the help of devices or exercises. It aims to enhance balance, strength, coordination, and endurance.
253 services198 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.
204 services185 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60612 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$94.06 typical visit price
range $60.08 – $183.39
Typical copayment $23.51 (range $15.02 – $45.84)
Most-billed visit code 99203
Established Patient
$74.80 typical visit price
range $18.97 – $148.12
Typical copayment $18.70 (range $4.74 – $37.03)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

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

Physical Therapist
1611 W HARRISON ST STE 107
CHICAGO, IL 60612
Occupational Therapist
1611 W HARRISON ST STE 107
CHICAGO, IL 60612
Physical Therapist
1611 W HARRISON ST STE 107
CHICAGO, IL 60612
Physical Therapist
1611 W HARRISON ST STE 107
CHICAGO, IL 60612
Physical Therapist
1611 W HARRISON ST STE 107
CHICAGO, IL 60612
Physical Therapist
1611 W HARRISON ST STE 107
CHICAGO, IL 60612
Physical Therapist
1611 W HARRISON ST STE 107
CHICAGO, IL 60612
Occupational Therapist
1611 W HARRISON ST STE 107
CHICAGO, IL 60612

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 Kelley Wilson's NPI number?

The NPI number for Kelley Wilson is 1114789401. It was assigned to this individual provider in the NPPES registry on January 23, 2024.

Where is Kelley Wilson located?

Kelley Wilson practices at 1611 W Harrison St Ste 107, Chicago, IL 60612. The listed phone number is (877) 632-6637.

What is Kelley Wilson's specialty?

The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.

Is Kelley Wilson enrolled in Medicare?

Yes. Kelley Wilson 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.

What insurance does Kelley Wilson accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Home State Health list Kelley Wilson 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 Kelley Wilson was last updated on January 30, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.