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

Kelly Jo Clark, PT

Individual provider Physical Therapist · NPI 1013135797

Kelly Jo Clark, PT is a Physical Therapist in Chicago, Illinois. Licensed in Illinois. Registered with an NPI since 2007.

Licensed in
IL
In the registry since
2007
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

1527 N Wells St
Chicago, IL 60610-1307
Phone: (312) 642-8114
Fax: (312) 642-8504
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Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 070012560 (IL)

Record details

NPI number1013135797
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT
Sole proprietorNo
NPI enumeratedApril 20, 2007
Last updated in NPPESDecember 2, 2008
Mailing address205 W Wacker Dr, Suite 1020, Chicago, IL 60606-1216

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