KELLY MALLOY
NPI 1881088573
Physical Therapist - Pediatrics in Chicago, IL

Active since March 20, 2015
811 W EVERGREEN AVE, SUITE 306, CHICAGO, IL 60642(312) 242-1665 Get Directions Write a Review

NPPES record last updated: March 20, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Kelly Malloy NPPES

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

KELLY MALLOY (NPI 1881088573) is an individual pediatrics provider in Chicago, Illinois, licensed in Illinois (070021220) and active in the NPI registry since March 2015.

NPPES Registry Identity

NPI1881088573
Entity TypeIndividualFemale
Primary Taxonomy2251P0200X
Provider Legal NameKELLY MALLOY
Location Address811 W EVERGREEN AVE, SUITE 306Chicago, IL 60642-2682
Mailing Address10016 Olcott AveSaint John, IN 46373-9547
Sole ProprietorNo
Enumeration DateMarch 20, 2015
NPI 1881088573 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 · 070021220
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.

811 W EVERGREEN AVE, Chicago, IL 60642

Other Providers at the Same Location NPPES 12

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

Physical Therapy Assistant
811 W EVERGREEN AVE
CHICAGO, IL 60642
Developmental Therapist
811 W EVERGREEN AVE, SUITE 404
CHICAGO, IL 60642
Developmental Therapist
811 W EVERGREEN AVE
CHICAGO, IL 60642
Speech-Language Pathologist
811 W EVERGREEN AVE, SUITE 306
CHICAGO, IL 60642
Physical Therapist (Pediatrics)
811 W EVERGREEN AVE, SUITE 404
CHICAGO, IL 60642
Speech-Language Pathologist
811 W EVERGREEN AVE, SUITE 404
CHICAGO, IL 60642
Speech-Language Pathologist
811 W EVERGREEN AVE, SUITE 404
CHICAGO, IL 60642
Occupational Therapist
811 W EVERGREEN AVE, UNIT 404
CHICAGO, IL 60642

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 Malloy's NPI number?

The NPI number for Kelly Malloy is 1881088573. It was assigned to this individual provider in the NPPES registry on March 20, 2015.

Where is Kelly Malloy located?

Kelly Malloy practices at 811 W Evergreen Ave Suite 306, Chicago, IL 60642. The listed phone number is (312) 242-1665.

What is Kelly Malloy's specialty?

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

When was this NPI record last updated?

The NPPES record for Kelly Malloy was last updated on March 20, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.