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

Individual provider Physical Therapist · NPI 1093059743

Kellie Audra Banfield, DPT is a Physical Therapist in Private Practice in Evanston, Illinois. Qualified in 2012, 14 years ago. Practices with Pacer Physical Therapy, Inc, a 6-clinician group and accepts Medicare assignment.

Years since qualifying
14
In the registry since
2012
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

805 Davis St
Evanston, IL 60201-4401
Phone: (847) 864-1535
Fax: (847) 864-1537
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X

Record details

NPI number1093059743
Entity typeIndividual (Type 1)
GenderFemale
Credentials DPT
Sole proprietorYes
NPI enumeratedNovember 19, 2012
Last updated in NPPESApril 12, 2016

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Pacer Physical Therapy, Inc. — 6 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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