Active NPI
Kristin Josephine Kankelborg, PT
- Physical Therapist
- University Place, WA
National Provider Identifier
1164331922
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT.PT.70169386
- Practice address
- 7727 40TH St W
University Place, WA 98466-3146 - Phone
- (253) 460-1362
- NPI assigned
- Sep 5, 2026
- Last updated
- Sep 5, 2026
- Sex
- Female
- Sole proprietor
- No
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 | PT.PT.70169386 | WA | Primary |
Addresses
Primary practice location
7727 40TH St W
University Place, WA 98466-3146
Mailing address
5401 N Court St Unit B
Ruston, WA 98407-3104
Phone (253) 432-0800
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1788566400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788566400000",
"number": "1164331922",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5401 N COURT ST UNIT B",
"city": "RUSTON",
"state": "WA",
"postal_code": "984073104",
"telephone_number": "253-432-0800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7727 40TH ST W",
"city": "UNIVERSITY PLACE",
"state": "WA",
"postal_code": "984663146",
"telephone_number": "253-460-1362"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KANKELBORG",
"first_name": "KRISTIN",
"middle_name": "JOSEPHINE",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-09-05",
"last_updated": "2026-09-05",
"certification_date": "2026-09-05",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WA",
"license": "PT.PT.70169386",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in University Place, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.