Individual provider · Type 1 NPI
Kyle Shively
Physical Therapy Assistant · Fox River Grove, IL
Practice location
1009 Highway 22 Ste 1
Fox River Grove, IL 60021-1998
Fax (847) 462-9208
Mailing address
900 Rand Rd Ste 300
Des Plaines, IL 60016-2359
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physical Therapy Assistant Primary | 225200000X | 160-009371 (IL) |
Physical Therapy Assistant: (1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on Postsecondary Accreditation, who assists the physical therapist in providing physical therapy. The supervising physical therapist is directly responsible for the actions of …
3 other providers at this address
Other physical therapy assistant providers in Fox River Grove
About NPI 1710848734
Kyle Shively's National Provider Identifier is 1710848734, issued on Nov 19, 2025. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Fox River Grove, IL. The record was last updated on Nov 19, 2025.