Kelli Ulrich, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

11-06828 Issued in KS

Practice address

233 White Way St
Netawaka, KS 66516-9323

Phone

(785) 285-0720

NPI assigned

Jun 30, 2021

Last updated

Aug 11, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1625011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628640000000",
    "number": "1104496181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1680 KANSAS RD",
            "city": "SABETHA",
            "state": "KS",
            "postal_code": "665342505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "233 WHITE WAY ST",
            "city": "NETAWAKA",
            "state": "KS",
            "postal_code": "665169323",
            "telephone_number": "785-285-0720"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "819 Oregon St",
            "address_purpose": "LOCATION",
            "city": "Hiawatha",
            "state": "KS",
            "postal_code": "664342205",
            "country_code": "US",
            "telephone_number": "785-742-2201",
            "fax_number": "785-742-2202",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ULRICH",
        "first_name": "KELLI",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-30",
        "last_updated": "2021-08-11",
        "certification_date": "2021-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KS",
            "license": "11-06828",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Tiffanyann Teguin Smith, CPTA

• Physical Therapist in Netawaka, KS
• Providers in Netawaka, KS by specialty
• Physical Therapist in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2021; 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.