IndividualActive
Kelly Rogers, PTA, LMT, BS
NPI 1578893723 · Physical Therapy Assistant · Byron, IL
Provider details
- NPI number
- 1578893723
- Entity type
- Individual
- Primary specialty
- Physical Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- PTA, LMT, BS
- Sex
- Female
- Sole proprietor
- No
- License
- 160.005347 (IL)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
Detailed profile(84/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 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
404 West Blackhawk Drive
Suite 1ll
Byron, IL 61010
Phone: (815) 234-5561
Fax: (815) 234-5870
Street-level locationGet directions
Mailing address
404 West Blackhawk Drive
Byron, IL 61010
Registry dates
- Enumerated
- 2010-01-12
- Last updated
- 2010-01-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.