Individual provider Active NPI

Kristen Nelson-Veltkamp, PT

  • Physical Therapist
  • Cleveland, OH
National Provider Identifier
1093073918
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT016714 Issued in OH
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

Updated by the provider on Jul 21, 2022

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 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.

Verify at the official NPI Registry.