Keely Jean Kowalchuk, RPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT00010137 Issued in WA

Practice address

1951 152ND PL NE
Suite 102
Bellevue, WA 98007-4209

Phone

(425) 455-0699

Fax

(425) 455-1541

NPI assigned

Sep 22, 2006

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

Enrolled in WA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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 and National Provider Directory roles.

• Milestone Physical Therapy, Inc.

  • Physical Therapist
  • Bellevue, WA
  • NPI 1023243177
  Medicare reassignment NPD Authorized official
• Bellevue Sports Medicine Clinic Inc

  • Physical Therapist
  • Bellevue, WA
  • NPI 1124039870
  NPD (past) Authorized official

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

{
    "created_epoch": "1158883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1431388800000",
    "number": "1164521134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1951 152ND PL NE",
            "address_2": "SUITE 102",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980074209",
            "telephone_number": "425-455-0699",
            "fax_number": "425-455-1541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1951 152ND PL NE",
            "address_2": "SUITE 102",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980074209",
            "telephone_number": "425-455-0699",
            "fax_number": "425-455-1541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOWALCHUK",
        "first_name": "KEELY",
        "middle_name": "JEAN",
        "name_prefix": "Ms.",
        "credential": "RPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-22",
        "last_updated": "2015-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT00010137",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hannah Kotjan, CCC-SLP
• Cassandra Kotlarchik, LMFT, CEDS
• Jill Kott, RD, CD
• Nicholas L Kovach, M.D.
• Nora Kovit, DPT
• Cole Simon Kozloff, PA-C
• Denise S Kraft, MD
• Greta Kramer, RD
• Bjorn B Krane, M.D.
• Dmitriy Kravchinskiy, LMP

• Physical Therapist in Bellevue, WA
• Providers in Bellevue, WA by specialty
• Physical Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2015; 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.