KELLY MALLOY (NPI# 1881088573) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881088573 |
| Entity Type | Individual |
| Full Name | KELLY MALLOY |
| Practice Address |
811 W Evergreen Ave Suite 306 Chicago IL 60642-2682 |
| Mailing Address |
10016 Olcott Ave Saint John IN 46373-9547 |
| Practice Telephone | 3122421665 |
| Enumeration Date | 2015-03-20 |
| Last Update Date | 2015-03-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251P0200X |
Physical Therapist Specialization: Pediatrics |
070021220 | IL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194239319 | Kelly Ann Malloy | Physical Therapist | 20 W Maple Ave, Merchantville, NJ 08109-5104 | 2017-11-27 |
| 1174864987 | Kelly J Malloy | Pharmacist | 600 Court St, Fulton, MO 65251-1903 | 2013-03-05 |
| 1538448717 | Kelly L Malloy | Day Training/Habilitation Specialist | 1005 Balcom Ln, Trumann, AR 72472-9502 | 2011-08-05 |
| 1740414614 | Kelly Ann Malloy | Occupational Therapy Assistant | 2810 Ambassador Caffery Pkwy, Lafayette, LA 70506-5906 | 2009-05-07 |
| 1578787073 | Kelly Kathleen Malloy | Obstetrics & Gynecology | 1881 Chicago St, De Pere, WI 54115-3770 | 2007-04-13 |
| 1588792097 | Kelly Michele Malloy | Otolaryngology | 1500 E Medical Center Dr, 1st Floor Taubman Ctr Recp A, Ann Arbor, MI 48109-5312 | 2007-02-28 |
| 1598773384 | Kelly A Malloy | Optometrist | 1200 W Godfrey Ave, Philadelphia, PA 19141-3323 | 2006-08-04 |
| Street Address |
811 W EVERGREEN AVE SUITE 306 |
| City | CHICAGO |
| State | IL |
| Zip Code | 60642-2682 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285802025 | Depaul Family & Community Services | Clinic/Center | 811 W Evergreen Ave, 102a, Chicago, IL 60622-2682 | 2008-02-14 |
| 1740752690 | Carol Brod | Occupational Therapist | 811 W Evergreen Ave, Chicago, IL 60642-2682 | 2018-12-17 |
| 1053886796 | Erin Nicole Kooiker | Physical Therapy Assistant | 811 W Evergreen Ave, Chicago, IL 60642-2682 | 2018-10-09 |
| 1134656887 | Marisa Borreca | Developmental Therapist | 811 W Evergreen Ave, Suite 404, Chicago, IL 60642-2682 | 2017-05-12 |
| 1669906731 | Gabrielle Kirk | Occupational Therapist | 811 W Evergreen Ave, Unit 404, Chicago, IL 60642-7113 | 2017-04-17 |
| 1588115174 | Cara Mcgarry | Speech-Language Pathologist | 811 W Evergreen Ave, Suite 404, Chicago, IL 60642-2682 | 2016-10-18 |
| 1508316316 | Morgan Jana Ahluwalia | Physical Therapist | 811 W Evergreen Ave, Suite 404, Chicago, IL 60642-2682 | 2016-10-05 |
| 1275986382 | Sabrina Gimenez | Developmental Therapist | 811 W Evergreen Ave, Chicago, IL 60642-2682 | 2016-07-13 |
| 1992150254 | Rachel Amanda Holowicki | Developmental Therapist | 811 W Evergreen Ave, Chicago, IL 60642-2682 | 2016-04-25 |
| 1821468513 | Aislynn Gallagher | Occupational Therapist | 811 W Evergreen Ave, Chicago, IL 60642-2682 | 2015-10-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134612542 | Lauren Gregorcy | Social Worker | 939 W. North Avenue, Suite 750, Chicago, Illinois, 6064, Office 720, Chicago, IL 60642 | 2018-06-11 |
| 1811409030 | Athletico Ltd | Physical Therapist | 819 W Blackhawk St, Ste 819b, Chicago, IL 60642 | 2017-10-27 |
| 1346759693 | Rachel Sherron | Counselor | 938 N Elston, #1, Chicago, IL 60642 | 2017-09-28 |
| 1639612831 | Empathic Resonance, LLC | Clinic/Center | 939 W North Ave Suite 750, Office 721, Chicago, IL 60642 | 2016-11-21 |
| 1053867317 | D Jamieson Brady | Dentist | 1249 N Greenview Ave Apt 1, Chicago, IL 60642 | 2016-08-28 |
| 1548646508 | Kathryn Lee | Massage Therapist | 742 N Ada St, Unit 1, Chicago, IL 60642 | 2015-07-31 |
| 1497149694 | Neda Bahrani | Family Medicine | 1460 N Halsted St Ste 401, Chicago, IL 60642 | 2015-03-25 |
| 1326439431 | Sarah Perez | Counselor | 1332 N. Cleaver St, Apt. 2rr, Chicago, IL 60642 | 2015-02-11 |
| 1780097105 | Michael Sotiriou | Dermatology | 1765 N Elston Ave Ste 110, Chicago, IL 60642 | 2014-06-03 |
| 1285067876 | Tyler Pere Choate | Speech-Language Pathologist | 400 N. May Street, Chicago, IL 60642 | 2013-08-19 |
| Find all providers in zip 60642 | ||||
| Taxonomy Code | 2251P0200X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841750411 | Crawl Walk Leap P.C. | Physical Therapist | 720 W Randolph St Apt 1103, Chicago, IL 60661-2171 | 2019-03-21 |
| 1912478777 | Elaine Rodriguez | Physical Therapist | 3332 N Kostner Ave, Chicago, IL 60641-4513 | 2018-12-05 |
| 1669915674 | Anna's Pediatric Physical Therapy LLC | Physical Therapist | 2120 W Armitage Ave, Unit 1, Chicago, IL 60647-4516 | 2016-11-22 |
| 1669840005 | Kateland Hojnacki | Physical Therapist | 431 W Belden Ave, C203, Chicago, IL 60614-3867 | 2015-09-02 |
| 1033522362 | Starting Smart LLC | Physical Therapist | 3359 N Seminary Ave # 1, Chicago, IL 60657-2220 | 2014-06-04 |
| 1770996159 | Sydney Steininger | Physical Therapist | 2315 N Leavitt St, Apt 3r, Chicago, IL 60647-3273 | 2014-06-03 |
| 1184989964 | Debra Renae Nickoli | Physical Therapist | 401 E Ontario St Apt 4003, Chicago, IL 60611-4443 | 2012-07-09 |
| 1326352899 | Sandra Maria De Jesus | Physical Therapist | 3630 N. Harlem Avenue, 214, Chicago, IL 60634-3194 | 2010-07-27 |
| 1528384971 | New City Therapy, Inc. | Physical Therapist | 2644 W Cermak Rd, Chicago, IL 60608-3515 | 2010-04-09 |
| 1104056571 | Abbey Louise Melling | Physical Therapist | 1 W Superior St, Apt. 908, Chicago, IL 60654-8803 | 2009-07-20 |
| Find all providers in CHICAGO | ||||
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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.