Nannon L Kelsall, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

33126 Issued in CA

Practice address

5255 El Camino Real Ste C
Atascadero, CA 93422-3351

Phone

(805) 237-0272

Fax

(805) 237-2416

NPI assigned

Dec 2, 2024

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

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Paso Robles Physical Therapy IncGroup PAC ID 7315376357, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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 and National Provider Directory roles.

• Paso Robles Physical Therapy Inc

  • Physical Therapist
  • Atascadero, CA
  • NPI 1609414416
  Medicare reassignment Care Compare group NPD
• Anthony Wallace

  • Physical Therapist
  • Paso Robles, CA
  • NPI 1720086838
  NPD

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

{
    "created_epoch": "1733097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733097600000",
    "number": "1073339438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5255 EL CAMINO REAL STE C",
            "city": "ATASCADERO",
            "state": "CA",
            "postal_code": "934223351",
            "telephone_number": "805-237-0272",
            "fax_number": "805-237-2416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5255 EL CAMINO REAL STE C",
            "city": "ATASCADERO",
            "state": "CA",
            "postal_code": "934223351",
            "telephone_number": "805-237-0272",
            "fax_number": "805-237-2416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELSALL",
        "first_name": "NANNON",
        "middle_name": "L",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-12-02",
        "last_updated": "2024-12-02",
        "certification_date": "2024-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "33126",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patricia Keely, LMFT
• Mellie Fay Keene, NP
• Kelsey Ann Kehoe, M.A., L.M.F.T
• Kelly Wills Nutrition
• Michael Kelly
• Jessica Kelso, BCBA
• Kelsey Kennedy
• Hannah Juul-Borre Kenyon, MA, MT-BC
• Phillip Eugene Kerce, N.P.
• Janet Kershaw-McLennan, M.D.

• Physical Therapist in Atascadero, CA
• Providers in Atascadero, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2024; 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.