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

Jessica C Kelley, DPT

Individual provider Physical Therapist · NPI 1285074187

Jessica C Kelley, DPT is a Physical Therapist in Private Practice in Carbondale, Illinois. Qualified in 2013, 13 years ago. Practices with Athletico Ltd, a 2,186-clinician group and accepts Medicare assignment. Licensed in Illinois and Missouri.

Years since qualifying
13
Licensed in
IL, MO
In the registry since
2013
Specialties on file
2
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

900 E Walnut St Ste 1
Carbondale, IL 62901-3132
Phone: (618) 319-7540
Fax: (618) 319-7542
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 070021414 (IL)
Physical Therapist Taxonomy 225100000X · Licence 2013028761 (MO)

Record details

NPI number1285074187
Entity typeIndividual (Type 1)
GenderFemale
Credentials DPT
Sole proprietorNo
NPI enumeratedJune 25, 2013
Last updated in NPPESJanuary 29, 2025
Certification dateJanuary 29, 2025

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Athletico Ltd — 2186 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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