Individual provider Active NPI

Kelsey Payung, PT, DPT

  • Physical Therapist
  • King of Prussia, PA
National Provider Identifier
1083260343
Registry record updated Aug 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT027901 Issued in PA
Practice address
211 S Gulph Rd Ste 300
King of Prussia, PA 19406-3101
Phone
(610) 265-2230
Fax
(610) 265-2240
NPI assigned
Aug 13, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2019

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 PT027901 PA Primary

Addresses

Primary practice location

211 S Gulph Rd Ste 300
King of Prussia, PA 19406-3101

Mailing address

850 Willow Rd
Hellertown, PA 18055-2333
Phone (610) 393-6555

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190906003050 PA Practitioner - Physical Therapist in Private Practice 5496084014 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT027901PAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Patch Technique PLLC CurrentSince Apr 23, 2023 Accepting new patients
Pennsylvania Luna Care Physical Therapy LLC Physical Therapist CurrentSince Mar 2, 2022 Accepting new patients

Locations

300 Welsh Rd
Bldg 1
Horsham, PA 19044

357 S Gulph Rd
Ste 310
Kng of Prussa, PA 19406
Phone (610) 265-2230

Organizations & group practices 2

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": "1565654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565654400000",
    "number": "1083260343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "850 WILLOW RD",
            "city": "HELLERTOWN",
            "state": "PA",
            "postal_code": "180552333",
            "telephone_number": "610-393-6555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 S GULPH RD STE 300",
            "city": "KING OF PRUSSIA",
            "state": "PA",
            "postal_code": "194063101",
            "telephone_number": "610-265-2230",
            "fax_number": "610-265-2240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAYUNG",
        "first_name": "KELSEY",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-13",
        "last_updated": "2019-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT027901",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in King of Prussia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.