Kelly Ann McCracken Musselman, PT, DPT, LAT, ATC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Practice address

17500 133Rd Ave NE Ste a
Woodinville, WA 98072-3609

Phone

(425) 286-6615

Fax

(425) 286-6649

NPI assigned

Apr 17, 2019

Sex

Female

Sole proprietor

No

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.

• 520 Physical Therapy, LLC

  • Physical Therapy Clinic/Center
  • Bellevue, WA
  • NPI 1740864982

  Physical Therapist, WA

  Medicare reassignment Care Compare group NPD
• Lake Washington Physical Therapy LLC

  • Physical Therapy Clinic/Center
  • Kirkland, WA
  • NPI 1770894990

  Physical Therapist, WA

  Medicare reassignment Care Compare group NPD
• Tuohy Physical Therapy LLC

  • Physical Therapy Clinic/Center
  • Redmond, WA
  • NPI 1336471143

  WA

  Medicare reassignment NPD

Specialty

Physical Therapist in Private Practice

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

520 Physical Therapy, LLC 7 clinicians

Lake Washington Physical Therapy LLC 54 clinicians

Practice addresses (Care Compare)

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 29, 2026.

{
    "created_epoch": "1555459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785283200000",
    "number": "1104489996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17500 133RD AVE NE STE A",
            "city": "WOODINVILLE",
            "state": "WA",
            "postal_code": "980723609",
            "telephone_number": "425-286-6615",
            "fax_number": "425-286-6649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17500 133RD AVE NE STE A",
            "city": "WOODINVILLE",
            "state": "WA",
            "postal_code": "980723609",
            "telephone_number": "425-286-6615",
            "fax_number": "425-286-6649"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUSSELMAN",
        "first_name": "KELLY",
        "middle_name": "ANN MCCRACKEN",
        "credential": "PT, DPT, LAT, ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-17",
        "last_updated": "2026-07-29",
        "certification_date": "2026-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Roderick Alan Moore, DPM
• Destiny Morey
• Robin Rae Morris, LMHC
• Motivations
• Lynne E Munoz
• Svetlana Nadirov, FNP
• Kaitlyn Makiko Nagayama, MA
• Joseph Kenji Nakahara, MD
• Wendi Lynn Nancarrow-Carter, LCSW
• Nancy Hunter Counseling and Psychotherapy

• All providers in Woodinville, WA
• Physical Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2026; 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.