Kelsea Modelane, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

3787 Issued in NH

Practice address

134 Hall St Unit 1
Concord, NH 03301-3470

Phone

(603) 224-4540

NPI assigned

May 15, 2013

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 names 1

• Kelsea Moses Former name

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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 and National Provider Directory roles.

• Pediatric Physical Therapy, Inc

  • Physical Therapist
  • Concord, NH
  • NPI 1558539395
  NPD

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

{
    "created_epoch": "1368576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597536000000",
    "number": "1184060360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "134 HALL ST UNIT 1",
            "city": "CONCORD",
            "state": "NH",
            "postal_code": "033013470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "134 HALL ST UNIT 1",
            "city": "CONCORD",
            "state": "NH",
            "postal_code": "033013470",
            "telephone_number": "603-224-4540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MODELANE",
        "first_name": "KELSEA",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-05-15",
        "last_updated": "2020-08-16",
        "certification_date": "2020-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NH",
            "license": "3787",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "kmodelane@itsabilitypt.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "134 Hall St Unit 1",
            "city": "Concord",
            "state": "NH",
            "country_code": "US",
            "postal_code": "033013470",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "KELSEA",
            "last_name": "MOSES",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Gerry Mitchell, MSW, LICSW
• Judith A Mitchell, ARNP
• Margaret Vaughan Mitchell, RPA-C
• Robert E Mitchell II, MD
• Krystal Mitkonis, MS, LCMHC
• Modern Pharmacy
• Hans Kalin Moen, M.D
• Omid Moghimi, MD
• Sara Amr Mohamed, MD
• David C Molind, PA-C

• Physical Therapist in Concord, NH
• Providers in Concord, NH by specialty
• Physical Therapist in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2020; 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.