Kelly M Chick, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

AK842 Issued in AK

Practice address

1438 Millar St
Ketchikan, AK 99901-6008

Phone

(907) 247-7355

NPI assigned

Nov 13, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AK

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1991

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Optimum Health and Wellness Physical Therapy IncGroup PAC ID 3870775604, 14 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Optimum Health and Wellness Physical Therapy, Inc.

  • Physical Therapist
  • Ketchikan, AK
  • NPI 1649577578
  Medicare reassignment Care Compare group NPD Authorized official
• City of Craig Inc.

  • Land Ambulance
  • Craig, AK
  • NPI 1386868784
  NPD (past)
• City of Craig, Inc.

  dba Craig Clinic

  • Family Medicine Physician
  • Craig, AK
  • NPI 1578794863
  NPD (past)

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

{
    "created_epoch": "1163376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1114098654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1438 MILLAR ST",
            "city": "KETCHIKAN",
            "state": "AK",
            "postal_code": "999016008",
            "telephone_number": "907-247-7355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1438 MILLAR ST",
            "city": "KETCHIKAN",
            "state": "AK",
            "postal_code": "999016008",
            "telephone_number": "907-247-7355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHICK",
        "first_name": "KELLY",
        "middle_name": "M",
        "credential": "P.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AK",
            "license": "AK842",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PT68321",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Megan Cessnun, PT, DPT, NCS
• Cecilia Chandler
• Jamie Marie Charles
• Chelsea Youmans, FNP LLC
• Victor Chen, M.D.
• Alan L Christensen, M.D.
• Barry Delano Christensen, RPH
• Sonja Christensen, PHARMD
• Erik D Christianson, OD
• Pamela P Christianson

• Physical Therapist in Ketchikan, AK
• Providers in Ketchikan, AK by specialty
• Physical Therapist in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.