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

Kelley Wilson, DPT

Individual provider Physical Therapist · NPI 1114789401

Kelley Wilson, DPT is a Physical Therapist in Private Practice in Chicago, Illinois. Qualified in 2023, 3 years ago. Practices with Orthomidwest, PLLC, a 537-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Illinois and Indiana.

Years since qualifying
3
Licensed in
IL, IN
In the registry since
2024
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

1611 W Harrison St Ste 107
Chicago, IL 60612-4861
Phone: (877) 632-6637
Fax: (708) 409-5179
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 9200 Calumet Ave Ste 300, Munster, IN 46321-2885 — (877) 632-6637

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 070027807 (IL)
Physical Therapist Taxonomy 225100000X · Licence 05015428A (IN)

Record details

NPI number1114789401
Entity typeIndividual (Type 1)
GenderFemale
Credentials DPT
Sole proprietorNo
NPI enumeratedJanuary 23, 2024
Last updated in NPPESJanuary 30, 2024
Certification dateJanuary 30, 2024
Mailing address1611 W Harrison St Ste 107, Chicago, IL 60612-4861

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Orthomidwest, Pllc — 537 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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