Kelly Lee Bushore, PHYSICAL THERAPIST

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

DAPT000019 Issued in PA

Practice address

401 Rte 36 South
Roaring Spring, PA 16673

Phone

(814) 224-5566

NPI assigned

Nov 23, 2005

Last updated

Jul 13, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Pro Care Health Systems Inc

  • Physical Therapy Clinic/Center
  • Altoona, PA
  • NPI 1205821238
  NPD (past)
• Procare PT LP

  • Physical Therapist
  • Altoona, PA
  • NPI 1811238744
  NPD (past)

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

{
    "created_epoch": "1132704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1194708115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 E PLANK RD",
            "city": "ALTOONA",
            "state": "PA",
            "postal_code": "16602",
            "telephone_number": "814-941-7708",
            "fax_number": "814-941-7715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 RTE 36 SOUTH",
            "city": "ROARING SPRING",
            "state": "PA",
            "postal_code": "16673",
            "telephone_number": "814-224-5566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUSHORE",
        "first_name": "KELLY",
        "middle_name": "LEE",
        "credential": "PHYSICAL THERAPIST",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-23",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT015724",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "DAPT000019",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK",
            "identifier": "1438404",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Blair Orthopedic Associates, Inc (Blair Orthopedics)
• Candice B Brannan
• Carolyn D Brumbaugh, RN, CRNP
• Taylor Buchanan, PT
• Brian Kent Burket, LPC
• Central Pennsylvania Imaging, PC
• Shawn A Claycomb, D.C.
• Concussion Management Center of Central PA, LLC
• Jennifer L Covaleski, PT
• Cove Family Practice, Inc.

• Physical Therapist in Roaring Spring, PA
• Providers in Roaring Spring, PA by specialty
• Physical Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 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.

Verify at the official NPI Registry.