Kellie Lawton, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

070019197 Issued in IL

Practice address

10730 Nall Ave Ste 204
Overland Park, KS 66211

Phone

(913) 385-0075

Fax

(913) 385-0076

NPI assigned

Aug 7, 2012

Last updated

Aug 27, 2018By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Kellie Hodge Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

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.

• Renewed Movement

  • Physical Therapist
  • Lenexa, KS
  • NPI 1790394930
  NPD Authorized official
• Select Physical Therapy Holdings, Inc.

  dba Select Physical Therapy

  • Physical Therapy Clinic/Center
  • Mission, KS
  • NPI 1831717370
  NPD (past)

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

{
    "created_epoch": "1344297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1535328000000",
    "number": "1215284518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10730 NALL AVE STE 204",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662111202",
            "telephone_number": "913-385-0075",
            "fax_number": "913-385-0076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10730 NALL AVE STE 204",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "66211",
            "telephone_number": "913-385-0075",
            "fax_number": "913-385-0076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAWTON",
        "first_name": "KELLIE",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-08-07",
        "last_updated": "2018-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070019197",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELLIE",
            "last_name": "HODGE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Lawrence M Houston , MD Chartered
• Sophia M Lawrence, PT
• Aaron Mark Lawson, D.C.
• Krista Lawson
• Larry D Lawson, M.D.
• Olivia Catherine Lawyer, PMHNP
• Christina Denise Layton, FNP
• Darren Layton, OTR
• Maya Lazarus
• Alena Sara Lazenby, BCBA, LBA

• Physical Therapist in Overland Park, KS
• Providers in Overland Park, KS by specialty
• Physical Therapist in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2018; 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.