Active NPI
Kaylee Nelson, PT, DPT
- Physical Therapist
- Redmond, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT60551651
- Practice address
- 22500 NE Marketplace Dr
Suite 204
Redmond, WA 98053-2033 - Phone
- (425) 836-1034
- Fax
- (425) 836-1037
- NPI assigned
- Sep 9, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT60551651 | WA | Primary |
Addresses
Primary practice location
22500 NE Marketplace Dr
Suite 204
Redmond, WA 98053-2033
Mailing address
22500 NE Marketplace Dr Ste 204
Redmond, WA 98053-2033
Phone (425) 836-1034
Other practice location 1
14110 Main St NE Ste A
Duvall, WA 98019-8475
Phone (425) 429-7278
Other practice location 2
13930 NE 178th Pl Ste 112
Woodinville, WA 98072-3571
Phone (425) 939-2194
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0345754 | Other | WA | L & I |
| 0348777 | Other | WA | L & I |
Other names 1
- Kaylee Brantley
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
209 Kirkland Ave
Kirkland, WA 98033-6503
Phone (425) 629-3502
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT60551651 | WA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Everett Physical Therapy and Sport Performance Center PLLC | Current | Accepting new patients | |
| Washington Luna Care Physical Therapy LLC | Physical Therapist | Current | Accepting new patients |
| Everett Physical Therapy and Sport Performance Center PLLC | Physical Therapist | Current | Accepting new patients |
| Integrated Rehabilitation Group, PC | Physical Therapist | Current | Accepting new patients |
| Snohomish Physical Therapy PLLC | Physical Therapist | Current | Accepting new patients |
| Integrated Rehabilitation Group, PC | Physical Therapist | Current | Accepting new patients |
| Lake Washington Physical Therapy LLC | Physical Therapist | Current | Accepting new patients |
| Snohomish Physical Therapy PLLC | Physical Therapist | Current | Accepting new patients |
Locations
1300 W Sam Houston Pkwy S
Ste 300
Houston, TX 77042
Phone (713) 297-7052
13555 SE 36th St
Ste 100
Bellevue, WA 98006
14110 Main St NE
Ste A
Duvall, WA 98019
Phone (425) 429-7278
2000 Hewitt Ave
Ste 115
Everett, WA 98201
Phone (425) 252-3908
10207 19th Ave SE
Everett, WA 98208
Phone (425) 337-3166
403 W Stanley St
Granite Falls, WA 98252
Phone (360) 691-4835
6704 NE 181st St
Ste 101
Kenmore, WA 98028
Phone (425) 246-9799
209 Kirkland Ave
Kirkland, WA 98033
Phone (425) 629-3502
4220 132nd St SE
Ste 101
Mill Creek, WA 98012
Phone (425) 316-8046
22500 NE Marketplace Dr
Ste 204
Redmond, WA 98053
Phone (425) 836-1034
1830 Bickford Ave
Ste 209
Snohomish, WA 98290
Phone (360) 568-7774
13930 NE 178th Pl
Ste 112
Woodinville, WA 98072
Phone (425) 939-2194
Organizations & group practices 8
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.
-
- Physical Therapy Clinic/Center
- Kirkland, WA
- NPI 1770894990
Physical Therapist
-
- Physical Therapist
- Everett, WA
- NPI 1699713370
-
- Physical Therapy Clinic/Center
- Mill Creek, WA
- NPI 1154369833
Physical Therapist
-
- Physical Therapy Clinic/Center
- Snohomish, WA
- NPI 1487692398
Physical Therapist
-
- Physical Therapist
- Bellevue, WA
- NPI 1346808052
-
- Durable Medical Equipment & Medical Supplies
- Bothell, WA
- NPI 1447047477
-
- Physical Therapy Clinic/Center
- Marysville, WA
- NPI 1215201801
Physical Therapist
-
- Occupational Therapist
- Bothell, WA
- NPI 1245696814
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1441756800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1569888000000",
"number": "1053789925",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22500 NE MARKETPLACE DR STE 204",
"city": "REDMOND",
"state": "WA",
"postal_code": "980532033",
"telephone_number": "425-836-1034",
"fax_number": "425-836-1037"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22500 NE MARKETPLACE DR",
"address_2": "SUITE 204",
"city": "REDMOND",
"state": "WA",
"postal_code": "980532033",
"telephone_number": "425-836-1034",
"fax_number": "425-836-1037"
}
],
"practiceLocations": [
{
"address_1": "14110 Main St NE Ste A",
"address_purpose": "LOCATION",
"city": "Duvall",
"state": "WA",
"postal_code": "980198475",
"country_code": "US",
"telephone_number": "425-429-7278",
"fax_number": "425-341-9035",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "13930 NE 178th Pl Ste 112",
"address_purpose": "LOCATION",
"city": "Woodinville",
"state": "WA",
"postal_code": "980723571",
"country_code": "US",
"telephone_number": "425-939-2194",
"fax_number": "425-318-1102",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NELSON",
"first_name": "KAYLEE",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-09-09",
"last_updated": "2019-10-01",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WA",
"license": "PT60551651",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "L & I",
"identifier": "0345754",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "L & I",
"identifier": "0348777",
"state": "WA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "KAYLEE",
"last_name": "BRANTLEY",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Redmond, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2019; 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.