KELLY WAGLE (NPI# 1912212176) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912212176 |
| Entity Type | Individual |
| Full Name | KELLY WAGLE |
| Other Name | KELLY MCKENDRY |
| Credential | DPT |
| Practice Address |
111 W 3rd St Elmhurst IL 60126-2798 |
| Practice Telephone | 6304153040 |
| Practice Fax Number | 6304153043 |
| Mailing Telephone | 6304153040 |
| Mailing Fax Number | 6304153043 |
| Enumeration Date | 2010-08-12 |
| Last Update Date | 2016-01-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225100000X | Physical Therapist | 070-18010 | IL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
111 W 3RD ST |
| City | ELMHURST |
| State | IL |
| Zip Code | 60126-2798 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659926467 | Brooks Tryon | Physical Therapist | 111 W 3rd St, Elmhurst, IL 60126-2798 | 2019-08-08 |
| 1932680766 | Martin K Schmitt | Physical Therapist | 111 W 3rd St, Elmhurst, IL 60126-2798 | 2018-08-29 |
| 1437678604 | Daniel M Griffin | Physical Therapist | 111 W 3rd St, Elmhurst, IL 60126-2798 | 2017-09-19 |
| 1699125146 | Stephanie Ruff | Physical Therapist | 111 W 3rd St, Elmhurst, IL 60126-2798 | 2016-06-15 |
| 1699121418 | Marc Beeber | Physical Therapist | 111 W 3rd St, Elmhurst, IL 60126-2798 | 2016-05-11 |
| 1073982971 | Ashley J Kanelos | Physical Therapist | 111 W 3rd St, Elmhurst, IL 60126-2798 | 2015-09-21 |
| 1336572767 | Kaitlyn E Mcglynn | Physical Therapist | 111 W 3rd St, Elmhurst, IL 60126-2798 | 2013-08-21 |
| 1700130887 | Athletico Ltd | Physical Therapist | 111 W 3rd St, Elmhurst, IL 60126-2798 | 2012-10-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154931434 | Andrew D Chastain | Physical Therapy Assistant | 188 N. Industrial Drive, Suite 112, Elmhurst, IL 60126 | 2020-08-03 |
| 1407464472 | Kevin M. Dunn | Physical Therapy Assistant | 188 N, Industrial Dr, Suite 112, Elmhurst, IL 60126 | 2020-07-16 |
| 1699236414 | Rosario Garcia | Nurse Practitioner | 1200 York St, Elmhurst, IL 60126 | 2019-03-26 |
| 1003390857 | Lauren M Gorski | Physical Therapist | 275 N. York Rd, Suite 300, Elmhurst, IL 60126 | 2018-09-18 |
| 1073041240 | Kyle Patrick Harmon | Dentist | 127 W Vallette St, Elmhurst, IL 60126 | 2017-05-31 |
| 1083065031 | Mariah Lynn Kyro | Behavioral Analyst | 650 W. Grand Avenue Suite 207, Elmhurst, IL 60126 | 2016-06-30 |
| 1841661261 | Randi N. Rockell | Nurse Practitioner | 155 E. Brush Hill Rd., Elmhurst Memorial Hospital, Elmhurst, IL 60126 | 2015-10-12 |
| 1508254897 | Soles Therapy Services Corp | Speech-Language Pathologist | 627 N York Street, Unit E, Elmhurst, IL 60126 | 2015-01-08 |
| 1629466560 | Amy J Pawlik | Physical Therapist | 263 N. York Rd., Suite 200, Elmhurst, IL 60126 | 2014-12-30 |
| 1265771349 | Ladawna Goering | Nurse Practitioner | 133 E Brush Hill, Suite 310, Elmhurst, IL 60126 | 2013-02-08 |
| Find all providers in zip 60126 | ||||
| Taxonomy Code | 225100000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT’s assess joint motion, muscle strength and endurance, function of heart and lungs, and performance of activities required in daily living, among other responsibilities. Treatment includes therapeutic exercises, cardiovascular endurance training, and training in activities of daily living. (2) A physical therapist is a person qualified by an accredited program in physical therapy, licensed by the state, and practicing within the scope of that license. Physical therapists treat disease, injury, or loss of a bodily part by physical means, such as the application of light, heat, cold, water, electricity, massage and exercise. They develop treatment plans based upon each patient’s strengths, weaknesses, range of motion and ability to function. (3) A health professional who specializes in physical therapy- the health care field concerned primarily with the treatment of disorders with physical agents and methods, such as massage, manipulation, therapeutic exercises, cold, heat (including short-wave, microwave, and ultrasonic diathermy), hydrotherapy, electric stimulation and light to assist in rehabilitating patients and in restoring normal function after an illness or injury. |
| Notes: Source: (1) APTA Guidelines for Physical Therapy Claims Review, American Physical Therapy Association. (3) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710586151 | Dane B Morita | Physical Therapist | 550 S Cedar Ave, Elmhurst, IL 60126-4136 | 2020-10-17 |
| 1770181968 | Rachel Cavin-meza | Physical Therapist | 188 W Industrial Dr Ste 112, Elmhurst, IL 60126-1608 | 2020-10-11 |
| 1083228720 | Go Physio Pt PC | Physical Therapist | 8105 Queens Blvd Unit S2, Elmhurst, NY 11373-3750 | 2020-09-01 |
| 1457976524 | Rachael Whitehouse | Physical Therapist | 4 Elm Creek Dr Apt 109, Elmhurst, IL 60126-5289 | 2020-06-14 |
| 1639798978 | Raymond Reyes Gayla | Physical Therapist | 9243 51st Ave Bsmt, Elmhurst, NY 11373-4013 | 2020-04-15 |
| 1932728656 | Chung-yu Yang | Physical Therapist | 8631 56th Ave Apt 3a, Elmhurst, NY 11373-4805 | 2020-04-13 |
| 1891324232 | Jihyeon Lee | Physical Therapist | 5725 Van Horn St Apt 4b, Elmhurst, NY 11373-4876 | 2020-04-07 |
| 1598394363 | Niccolo Oalican Garcia | Physical Therapist | 8604 Grand Ave Apt 2e, Elmhurst, NY 11373-4316 | 2020-04-03 |
| 1083240279 | Ian Enrick Bartolome | Physical Therapist | 5203 82nd St Fl 1, Elmhurst, NY 11373-4114 | 2020-03-19 |
| 1255966230 | Body Logics Rehab Pt PC | Physical Therapist | 8537 58th Ave, Elmhurst, NY 11373-4811 | 2020-03-10 |
| Find all providers in ELMHURST | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.