Kelly Dawn Cooke, PT, DPT
NPI 1831742204ActiveIndividual· Physical Therapist· Paxton, IL
Physical Therapist (PT, DPT) with Athletic and Therapeutic Institute of Bourbonnais, LLC, practicing in Paxton, Illinois. Medicare paid $39,550 for services to 65 patients in 2024.
Overview
| NPI | 1831742204 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PT, DPT |
| Sole proprietor | No |
| NPI issued | Jul 24, 2019 |
| Last updated in NPPES | Jun 27, 2024 |
| Certified by provider | Jun 27, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | 070021897 | IL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physical Therapist in Private Practice (IL) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 65 |
|---|---|
| Services billed | 1,876 across 9 procedure codes |
| Paid by Medicare | $39,550 |
Education and affiliations
| Graduation year | 2015 |
|---|---|
| Medicare specialty | Physical Therapist In Private Practice |
Medical group
- Athletic and Therapeutic Institute of Bourbonnais, LLCBourbonnais, IL · 167 clinicians
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