Katy Renee Kemp, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5302 Issued in OR

Practice address

4560 SE International Way
#100
Milwaukie, OR 97222

Phone

(971) 206-5129

Fax

(971) 206-5209

NPI assigned

Jan 17, 2007

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 OR

Enrollment records 1

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 and National Provider Directory roles.

• Mandala Medicine Acupuncture LLC

  • Acupuncturist
  • Portland, OR
  • NPI 1952600124
  Medicare reassignment
• Evolve Wellness

  • Chiropractor
  • Portland, OR
  • NPI 1033518709
  NPD (past)
• Rehab Specialists I, LLC

  dba Consonus Rehab

  • Physical Therapist
  • Milwaukie, OR
  • NPI 1811048028
  NPD (past)

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

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1474588800000",
    "number": "1255483376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3125 E BURNSIDE ST",
            "address_2": "#100",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972142073",
            "telephone_number": "971-206-5129",
            "fax_number": "971-206-5209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4560 SE INTERNATIONAL WAY",
            "address_2": "#100",
            "city": "MILWAUKIE",
            "state": "OR",
            "postal_code": "97222",
            "telephone_number": "971-206-5129",
            "fax_number": "971-206-5209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEMP",
        "first_name": "KATY",
        "middle_name": "RENEE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-17",
        "last_updated": "2016-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OR",
            "license": "5302",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Keith D. Johns D.C., P.C. (Milwaukie Chiropractic Center)
• Katherine A Kelly
• Colette Dawn Kelsey, LCSW
• Scott J Kemeny, MD
• Jennifer Kemmerer
• Allison Kennedy, BA
• Siobhan Melinda Kennedy, L.M.T.
• Lisa M Kensil, PA
• Dale Kereczman, LCSW
• Breanne Ayla Mat Kerlin, RDH, EPDH, BSDH

• Physical Therapist in Milwaukie, OR
• Providers in Milwaukie, OR by specialty
• Physical Therapist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.