IndividualActive
Casey Ketelsen, DPT
NPI 1093971152 · Physical Therapist · Spring Grove, IL
Provider details
- NPI number
- 1093971152
- Entity type
- Individual
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- DPT
- Sex
- Male
- Sole proprietor
- No
- License
- 070016508 (IL)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
Detailed profile(87/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2900 N US Highway 12 Ste J
Spring Grove, IL 60081-8322
Phone: (815) 675-0699
Fax: (815) 675-0689
Street-level locationGet directions
Mailing address
Po Box 362
Spring Grove, IL 60081-0362
Registry dates
- Enumerated
- 2008-07-29
- Last updated
- 2008-07-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.