IndividualActive
Kathryn Mecklenburg, DPT
NPI 1710250758 · Physical Therapist · Glen Ellyn, IL
Provider details
- NPI number
- 1710250758
- Entity type
- Individual
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- DPT
- Sex
- Female
- Sole proprietor
- Yes
- License
- 070017941 (IL)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
Detailed profile(80/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 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
875 Roosevelt Rd
Glen Ellyn, IL 60137-6101
Phone: (630) 315-1724
Fax: (630) 469-0098
Street-level locationGet directions
Mailing address
875 Roosevelt Rd
Glen Ellyn, IL 60137-6101
Registry dates
- Enumerated
- 2012-02-22
- Last updated
- 2021-05-26
- Certified
- 2021-05-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.