Active NPI
Kelly Lee Colson, MSPT
- Physical Therapist
- Lexington, KY
National Provider Identifier
1194972117
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 005289
- Practice address
- 5008 Summer Breeze Cir
Lexington, KY 40515-6255 - Phone
- (502) 644-1940
- NPI assigned
- Aug 20, 2008
- Last updated
- Nov 12, 2012
- 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 | 005289 | KY | Primary |
Addresses
Primary practice location
5008 Summer Breeze Cir
Lexington, KY 40515-6255
Mailing address
5008 Summer Breeze Cir
Lexington, KY 40515-6255
Phone (502) 644-1940
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 005289 | KY | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1219190400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1352678400000",
"number": "1194972117",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5008 SUMMER BREEZE CIR",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405156255",
"telephone_number": "502-644-1940"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5008 SUMMER BREEZE CIR",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405156255",
"telephone_number": "502-644-1940"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLSON",
"first_name": "KELLY",
"middle_name": "LEE",
"credential": "MSPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-08-20",
"last_updated": "2012-11-12",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "KY",
"license": "005289",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lexington, KY
- Maria Colon-Norat
- Justin Noel Colon
- Heidi Colony, LPCA
- Colorectal Surgical & Gastroenterology Associates PSC (CSGA Surgery Center)
- Colorectal Surgical & Gastroenterology Associates PSC
- Brittany Leann Colston
- Robert Alexander Colston, LMFT
- Columbia Medical Equipment, Inc of Fayette County
- Laura S Columbia, ARNP, FNP-C
- Columbus Medical Services, LLC (The Columbus Organization)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.