Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Derek Kelton

Individual provider Physical Therapist · NPI 1386138444

Derek Kelton is a Physical Therapist in Private Practice in Springfield, Illinois. Qualified in 2018, 8 years ago. Practices with Springfield Clinic, LLP, a 679-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
8
Licensed in
IL
In the registry since
2018
Specialties on file
2
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Practice location Address checks out

2325 W Monroe St
Springfield, IL 62704-1452
Phone: (217) 547-2497
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 4460 S Noland Rd, Independence, MO 64055 — (816) 373-2845

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 070028643 (IL)
Physical Therapist Taxonomy 225100000X

Record details

NPI number1386138444
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJune 21, 2018
Last updated in NPPESNovember 7, 2024
Certification dateNovember 7, 2024
Mailing addressPo Box 19248, Springfield, IL 62794-9248

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Springfield Clinic, Llp — 679 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Springfield