IndividualActive
Kelly Cunningham
NPI 1285301556 · Physical Therapy Assistant · Bourbonnais, IL
Provider details
- NPI number
- 1285301556
- Entity type
- Individual
- Primary specialty
- Physical Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 160-009012 (IL)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
Established profile(62/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 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
6712 N Convent St
Bourbonnais, IL 60914-1528
Phone: (815) 295-8300
Fax: (815) 295-8301
Approximate (ZIP-level) locationGet directions
Mailing address
900 Rand Rd Ste 300
Des Plaines, IL 60016-2359
Registry dates
- Enumerated
- 2021-08-25
- Last updated
- 2021-11-29
- Certified
- 2021-11-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.