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

Mary Kelly, PT

Individual provider Pediatric Physical Therapist · NPI 1073590212

Mary Kelly, PT is a Physical Therapist in Private Practice in St Charles, Illinois. Qualified in 1993, 33 years ago. Practices with Fox Valley Physical Therapy and Wellness, LLC, an 8-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
33
Licensed in
IL
In the registry since
2005
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

3381 W Main St Ste 1
St Charles, IL 60175-1008
Phone: (630) 549-0511
Fax: (630) 549-0512
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Physical Therapist (primary) Taxonomy 2251P0200X · Licence 070-011761 (IL)

Record details

NPI number1073590212
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT
Sole proprietorNo
NPI enumeratedDecember 29, 2005
Last updated in NPPESJune 15, 2022
Certification dateJune 15, 2022

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 1993 (33 years in practice)
Group practice Fox Valley Physical Therapy And Wellness,Llc — 8 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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