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

Mr. Kyle Kelly, PTA

Individual provider Physical Therapy Assistant · NPI 1417339086

Mr. Kyle Kelly, PTA is a Physical Therapy Assistant in Palos Heights, Illinois. Licensed in Illinois. Registered with an NPI since 2015.

Licensed in
IL
In the registry since
2015
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

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Practice location Address checks out

12550 S Ridgeland Ave
Palos Heights, IL 60463-1859
Phone: (708) 597-9300
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 160007018 (IL)

Record details

NPI number1417339086
Entity typeIndividual (Type 1)
GenderMale
Credentials PTA
Sole proprietorNo
NPI enumeratedJune 19, 2015
Last updated in NPPESJune 19, 2015

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