Kelsey White Imondi, DPT, PT

Primary specialty

Pediatric Physical TherapistTaxonomy code 2251P0200X

License

60300414 Issued in WA

Practice address

9414 NE Fourth Plain Rd
Vancouver, WA 98662-6109

Phone

(360) 892-5142

NPI assigned

Aug 31, 2012

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

Other names 1

• Kelsey Jean White Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1346371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346371200000",
    "number": "1275882672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9414 NE FOURTH PLAIN ROAD",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "98662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9414 NE FOURTH PLAIN RD",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986626109",
            "telephone_number": "360-892-5142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IMONDI",
        "first_name": "KELSEY",
        "middle_name": "WHITE",
        "credential": "DPT, PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-31",
        "last_updated": "2012-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "WA",
            "license": "60300414",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELSEY",
            "last_name": "WHITE",
            "middle_name": "JEAN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Amanda Yukari Ikehara, PHARMD
• Nasreen Ajmal Ilias-Khan, M.D.
• Janelle Lynn Imes, LMP
• Rachel Kate Imhof
• Hannah O Imohi
• Impact Physician Group, Washington LLC
• David Impastato, MD
• Katherine Accardo Impastato, MD
• In It Together RN LLC
• In Light for Life

• Pediatric Physical Therapist in Vancouver, WA
• Providers in Vancouver, WA by specialty
• Pediatric Physical Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 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.

Verify at the official NPI Registry.