Active NPI
Kelsey Noble
- Orthopedic Physical Therapist
- Media, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- License
- PT030005
- Practice address
- 280 N Providence Rd Ste 100
Media, PA 19063-3525 - Phone
- (610) 424-5800
- NPI assigned
- Nov 15, 2021
- 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 |
|---|---|---|---|---|
| Orthopedic Physical Therapist | 2251X0800X | PT030005 | PA | Primary |
Addresses
Primary practice location
280 N Providence Rd Ste 100
Media, PA 19063-3525
Mailing address
475 Allendale Rd Ste 206
King of Prussia, PA 19406-1495
Phone (610) 270-0370
Other names 1
- Kelsey Nieckoski
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
280 N Providence Rd
Suite 100
Media, PA 19063-3525
Phone (610) 424-5800
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT030005 | PA | MD | Orthopedic Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Motive Sports and Physical Therapy, PLLC | Current | Accepting new patients | |
| Orthopedic and Sports Physical Therapy Services, Inc. | Orthopedic | Current | Accepting new patients |
| Progress Physical Therapy LLC | Orthopedic | Current | Accepting new patients |
| Motive Sports and Physical Therapy Malvern, LLC | Orthopedic | Current | Accepting new patients |
Locations
120 E Lancaster Ave
Ste 205
Ardmore, PA 19003
Phone (484) 297-6491
1175 Lancaster Ave
Berwyn, PA 19312
Phone (610) 651-8282
91 Wilmington W Chester Pike
Ste 28
Chadds Ford, PA 19317
Phone (302) 584-5621
475 Allendale Rd
Ste 206
Kng of Prussa, PA 19406
Phone (610) 270-0370
101 Lindenwood Dr
Ste 225
Malvern, PA 19355
Phone (610) 504-4476
480 Lancaster Ave
Unit 4
Malvern, PA 19355
Phone (610) 500-5296
280 N Providence Rd
Ste 100
Media, PA 19063
Phone (610) 424-5800
555 E Lancaster Ave
Radnor, PA 19087
Phone (267) 507-7572
Organizations & group practices 4
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 Therapist
- Frazer, PA
- NPI 1871354159
Orthopedic
-
- Physical Therapist
- Chadds Ford, PA
- NPI 1578029575
-
- Physical Therapist
- Philadelphia, PA
- NPI 1588661235
Orthopedic
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1636934400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1736726400000",
"number": "1083370035",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "475 ALLENDALE RD STE 206",
"city": "KING OF PRUSSIA",
"state": "PA",
"postal_code": "194061495",
"telephone_number": "610-270-0370"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "280 N PROVIDENCE RD STE 100",
"city": "MEDIA",
"state": "PA",
"postal_code": "190633525",
"telephone_number": "610-424-5800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NOBLE",
"first_name": "KELSEY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-11-15",
"last_updated": "2025-01-13",
"certification_date": "2025-01-13",
"status": "A"
},
"taxonomies": [
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "PA",
"license": "PT030005",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KELSEY",
"last_name": "NIECKOSKI",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Media, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2025; 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.