Individual provider Active NPI

Kellee Ashley Straub

  • Physical Therapist
  • Redwood City, CA
National Provider Identifier
1043795156
Registry record updated Feb 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
294994 Issued in CA
Practice address
268 Redwood Shores Pkwy
Redwood City, CA 94065-1172
Phone
(650) 591-9581
Fax
(650) 591-9671
NPI assigned
Sep 25, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 294994 CA Primary

Addresses

Primary practice location

268 Redwood Shores Pkwy
Redwood City, CA 94065-1172

Mailing address

3129 Vicente St
San Francisco, CA 94116-2740
Phone (415) 661-1015

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220519001589 CA Practitioner - Physical Therapist in Private Practice 8820475452 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2016
Medicare assignment
May accept Medicare assignment
Group practices
Select Cal Physical Therapy PCGroup PAC ID 4789070699, 162 clinicians

Practice addresses (Care Compare)

5901 Christie Ave
Suite 305
Emeryville, CA 94608-1934
Phone (510) 529-7550

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Select Cal Physical Therapy PC Physical Therapist CurrentSince Apr 1, 2022 Accepting new patients
Select Cal Physical Therapy PC Physical Therapist Current Accepting new patients
Select Cal Physical Therapy PC CurrentSince Apr 1, 2022 Accepting new patients

Locations

1470 Civic Ct
Ste 320
Concord, CA 94520
Phone (925) 326-2211

5901 Christie Ave
Ste 305
Emeryville, CA 94608
Phone (510) 529-7550

2420 Martin Rd
Ste 380
Fairfield, CA 94534
Phone (707) 437-9001

360 Dardanelli Ln
Ste 1F
Los Gatos, CA 95032
Phone (408) 374-8823

929 Pacific St
Monterey, CA 93940
Phone (831) 373-1209

268 Redwood Shores Pkwy
Redwood City, CA 94065
Phone (650) 591-9581

1700 California St
Ste 530
San Francisco, CA 94109
Phone (415) 921-1758

3129 Vincente St
San Francisco, CA 94116
Phone (415) 661-1057

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1537833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612483200000",
    "number": "1043795156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3129 VICENTE ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941162740",
            "telephone_number": "415-661-1015",
            "fax_number": "415-661-7984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "268 REDWOOD SHORES PKWY",
            "city": "REDWOOD CITY",
            "state": "CA",
            "postal_code": "940651172",
            "telephone_number": "650-591-9581",
            "fax_number": "650-591-9671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STRAUB",
        "first_name": "KELLEE",
        "middle_name": "ASHLEY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-25",
        "last_updated": "2021-02-05",
        "certification_date": "2021-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "294994",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redwood City, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.