Active NPI
Nancy Kelley, P.T.
- Physical Therapist
- Everett, WA
National Provider Identifier
1154351245
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT00007596
- Practice address
- 916 Pacific Ave FL 2
Everett, WA 98201-4147 - Phone
- (425) 258-7600
- NPI assigned
- Jul 4, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 | PT00007596 | WA | Primary |
Addresses
Primary practice location
916 Pacific Ave FL 2
Everett, WA 98201-4147
Mailing address
8102 57TH Dr NE
Marysville, WA 98270-3203
Phone (425) 258-7600
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT00007596 | WA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151971200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1154351245",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8102 57TH DR NE",
"city": "MARYSVILLE",
"state": "WA",
"postal_code": "982703203",
"telephone_number": "425-258-7600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "916 PACIFIC AVE FL 2",
"city": "EVERETT",
"state": "WA",
"postal_code": "982014147",
"telephone_number": "425-258-7600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KELLEY",
"first_name": "NANCY",
"name_prefix": "Ms.",
"credential": "P.T.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-04",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WA",
"license": "PT00007596",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Everett, WA
Sources for this page
- 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.