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

Kelly Marie Bufford, PTATC

Individual provider Athletic Trainer · NPI 1497959647

Kelly Marie Bufford, PTATC is a Physical Therapist in Private Practice in Bradley, Illinois. Qualified in 2006, 20 years ago. Practices with River Valley Physical Therapy Spine and Joint Center LLC, a 4-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
20
Licensed in
IL
In the registry since
2007
Specialties on file
2
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Practice location Address checks out

535 E North St Ste C
Bradley, IL 60915-1188
Phone: (815) 802-7503
Fax: (815) 802-7514
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 118 W Main St, Peotone, IL 60468-8201 — (708) 792-0044

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 070015713 (IL)
Athletic Trainer Taxonomy 2255A2300X · Licence 096.001984 (IL)

Record details

NPI number1497959647
Entity typeIndividual (Type 1)
GenderFemale
Credentials PTATC
Sole proprietorNo
NPI enumeratedJune 12, 2007
Last updated in NPPESJanuary 17, 2024
Certification dateJanuary 17, 2024

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2006 (20 years in practice)
Group practice River Valley Physical Therapy Spine And Joint Center Llc — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Bradley