MS. KELLIE N PETTY
NPI 1619121191
Developmental Therapist in Chicago, IL

Active since November 10, 2008
3440 S COTTAGE GROVE AVE, 1203, CHICAGO, IL 60616(773) 535-3471 Get Directions Write a Review

NPPES record last updated: November 10, 2008. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Ms. Kellie N Petty NPPES

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

MS. KELLIE N PETTY (NPI 1619121191) is an individual developmental therapist in Chicago, Illinois and active in the NPI registry since November 2008.

NPPES Registry Identity

NPI1619121191
Entity TypeIndividualFemale
Primary Taxonomy222Q00000X
Provider Legal NameMS. KELLIE N PETTY
Location Address3440 S COTTAGE GROVE AVE, 1203Chicago, IL 60616-4140
Mailing Address3440 S Cottage Grove Ave, 1203Chicago, IL 60616-4140
Sole ProprietorYes
Enumeration DateNovember 10, 2008
✔ NPI 1619121191 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDevelopmental TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code222Q00000X
Definition
A Developmental Therapist is a person qualified by completion of an approved program in Developmental Therapy and where applicable credentialed by the state and practicing within the scope of the credential, or credentialed by completion of education experiences as approved by the state and practicing within the scope of that credential or, where state credentialing does not exist, certified by the Board of the Developmental Therapy Association. A developmental therapist evaluates children's global development in order to identify areas of developmental delay whether arising from physiological, neurological, or environmental factors, or a combination of factors; and designs, implements, and modifies therapeutic interventions for the child and the family to promote the child's acquisition of skills in a variety of developmental areas, including cognitive processes and social interaction in order to maximize functional independence and developmental homeostasis, and improve the quality of life at home and in the community; and provides consultation for the parents and other professionals working with the family on global development.
3440 S COTTAGE GROVE AVE, Chicago, IL 60616

Other Providers at the Same Location NPPES

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

Emergency Medicine
3440 S COTTAGE GROVE AVE, APT 602
CHICAGO, IL 60616

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 Kellie Petty's NPI number?

The NPI number for Kellie Petty is 1619121191. It was assigned to this individual provider in the NPPES registry on November 10, 2008.

Where is Kellie Petty located?

Kellie Petty practices at 3440 S Cottage Grove Ave 1203, Chicago, IL 60616. The listed phone number is (773) 535-3471.

What is Kellie Petty's specialty?

The primary specialty registered for this NPI is Developmental Therapist with taxonomy code 222Q00000X.

When was this NPI record last updated?

The NPPES record for Kellie Petty was last updated on November 10, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.