Kelly Quinlan White, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

005589 Issued in KY

Practice address

1681 Normal Drive
Bowling Green, KY 42101

Phone

(270) 745-2273

Fax

(270) 780-0490

NPI assigned

Jun 1, 2007

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

Other identifiers 2

Other names 1

• Kelly Michelle Quinlan Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Activcare Physical Therapy, LLC

  • Clinic/Center
  • Raleigh, NC
  • NPI 1548409626

  Physical Therapist

  NPD (past)
• Integrated Rehabilitation Services Limited Partnership

  • Physical Therapist
  • Vernon, CT
  • NPI 1346969532
  NPD (past)
• Integrated Rehabilitation Services, LLC

  • Physical Therapist
  • Vernon, CT
  • NPI 1104867951
  NPD (past)

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

{
    "created_epoch": "1180656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1501113600000",
    "number": "1154523116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 PARK ST",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421011759",
            "telephone_number": "270-745-2273",
            "fax_number": "270-780-0490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1681 NORMAL DRIVE",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "42101",
            "telephone_number": "270-745-2273",
            "fax_number": "270-780-0490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITE",
        "first_name": "KELLY",
        "middle_name": "QUINLAN",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-01",
        "last_updated": "2017-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KY",
            "license": "005589",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "PT33678",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CT STATE LICENSE",
            "identifier": "009056",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELLY",
            "last_name": "QUINLAN",
            "middle_name": "MICHELLE",
            "credential": "DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Alexandra White, RD, LD, SNS
• Alexis White
• Beverly Estelle White, MD
• Brandi Alison White, APRN
• Jeffrey Thomas White, M.D.
• Macy Ann White, OTR/L
• Mary Jessica White, RBT
• Mason Decker White, OTR/L
• Philip Bruce White Jr., DC
• Shawn White, LPCC

• Physical Therapist in Bowling Green, KY
• Providers in Bowling Green, KY by specialty
• Physical Therapist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2017; 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.