Active NPI
Kristen Nelson-Veltkamp, PT
- Physical Therapist
- Cleveland, OH
National Provider Identifier
1093073918
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT016714
- Practice address
- 7766 Broadview Rd
Cleveland, OH 44134-6743 - Phone
- (864) 244-3626
- NPI assigned
- Apr 28, 2012
- 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 | PT016714 | OH | Primary |
Addresses
Primary practice location
7766 Broadview Rd
Cleveland, OH 44134-6743
Mailing address
17350 Parkside Dr
North Royalton, OH 44133-5400
Phone (479) 713-9824
Other practice location 1
2403 Main Dr Ste 5
Fayetteville, AR 72704-5275
Phone (479) 966-4883
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1335571200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1093073918",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17350 PARKSIDE DR",
"city": "NORTH ROYALTON",
"state": "OH",
"postal_code": "441335400",
"telephone_number": "479-713-9824"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7766 BROADVIEW RD",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441346743",
"telephone_number": "864-244-3626"
}
],
"practiceLocations": [
{
"address_1": "2403 Main Dr Ste 5",
"address_purpose": "LOCATION",
"city": "Fayetteville",
"state": "AR",
"postal_code": "727045275",
"country_code": "US",
"telephone_number": "479-966-4883",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NELSON-VELTKAMP",
"first_name": "KRISTEN",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-04-28",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OH",
"license": "PT016714",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cleveland, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.