Kelsey Whitehead, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

61277542 Issued in WA

Practice address

2560 NE Hopkins CT
Pullman, WA 99163-5622

Phone

(509) 338-3800

NPI assigned

Jun 17, 2022

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

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.

• Schweitzer Engineering Laboratories

  • Primary Care Clinic/Center
  • Pullman, WA
  • NPI 1679827877
  NPD

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

{
    "created_epoch": "1655424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657152000000",
    "number": "1275264681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2560 NE HOPKINS CT",
            "city": "PULLMAN",
            "state": "WA",
            "postal_code": "991635622",
            "telephone_number": "509-338-3800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2560 NE HOPKINS CT",
            "city": "PULLMAN",
            "state": "WA",
            "postal_code": "991635622",
            "telephone_number": "509-338-3800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2857 Juniper Dr",
            "address_purpose": "LOCATION",
            "city": "Lewiston",
            "state": "ID",
            "postal_code": "835014719",
            "country_code": "US",
            "telephone_number": "208-848-8499",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WHITEHEAD",
        "first_name": "KELSEY",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-17",
        "last_updated": "2022-07-07",
        "certification_date": "2022-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "WA",
            "license": "61277542",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Westwards Beach, LLC (Three Creeks Post Acute)
• Melanie Whetstine, PH.D.
• Carla Ellen White, MS
• Kevin Willson White
• Elias Whitefoot, ATC
• Whitman County Fire District 12
• Whitman County Health Department
• Dirk Nathaniel Wigen, PHARMD
• Robert Verne Wiggins
• Catherine Wilkins, RN

• Physical Therapy Assistant in Pullman, WA
• Providers in Pullman, WA by specialty
• Physical Therapy Assistant in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2022; 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.