Kelli L Trom, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT60956311 Issued in WA

Practice address

9725 W Sunset Hwy
Spokane, WA 99224-9426

Phone

(509) 624-4100

Fax

(509) 624-2297

NPI assigned

Sep 16, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Kelli Lea Minissale Former name

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Gordon Physical Therapy PLLCGroup PAC ID 1153229596, 10 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• Gordon Physical Therapy, PLLC

  • Physical Therapist
  • Spokane Valley, WA
  • NPI 1265585335
  Medicare reassignment Care Compare group
• A and B Physical Therapy PLLC

  dba South Hill Physical Therapy

  • Physical Therapist
  • Spokane, WA
  • NPI 1750411690
  NPD
• Therapeutic Associates Inc

  dba TAI Evergreen Physical Therapy

  • Physical Therapist
  • Spokane Valley, WA
  • NPI 1497731244
  NPD

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

{
    "created_epoch": "1568592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660521600000",
    "number": "1073163630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2360 N ALADDIN RD",
            "city": "LIBERTY LAKE",
            "state": "WA",
            "postal_code": "990165359",
            "telephone_number": "509-808-0003",
            "fax_number": "509-624-2817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9725 W SUNSET HWY",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992249426",
            "telephone_number": "509-624-4100",
            "fax_number": "509-624-2297"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TROM",
        "first_name": "KELLI",
        "middle_name": "L",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-16",
        "last_updated": "2022-08-15",
        "certification_date": "2022-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT60956311",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "airway@spokanept.com",
            "affiliation": "N",
            "address_1": "9725 W Sunset Hwy",
            "city": "Spokane",
            "state": "WA",
            "country_code": "US",
            "postal_code": "992249426",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "KELLI",
            "last_name": "MINISSALE",
            "middle_name": "LEA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Angela Dawn Trobaugh-Lotrario, M.D.
• Anna Trofholz
• Stacey Trogdon, RD
• Jennifer A Troiano, MD
• Elisa M Troisi, CDPT
• Leanne Kathleen Troop-Dasgupta, FNP-BC
• Carol Trost, LMP
• Lindsey Trott, OTR/L
• Alexandra Nicole Trotter, PA-C
• Danielle Nicole Trottier, LICSWA

• Physical Therapist in Spokane, WA
• Providers in Spokane, WA by specialty
• Physical Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2022; 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.