Kari Kelly, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

A1122 Issued in MN

Practice address

1119 Owens St N
Stillwater, MN 55082-4316

Phone

(651) 439-7180

NPI assigned

Jul 15, 2014

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

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

{
    "created_epoch": "1405382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1405382400000",
    "number": "1275940942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1119 OWENS ST N",
            "city": "STILLWATER",
            "state": "MN",
            "postal_code": "550824316",
            "telephone_number": "651-439-7180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1119 OWENS ST N",
            "city": "STILLWATER",
            "state": "MN",
            "postal_code": "550824316",
            "telephone_number": "651-439-7180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLY",
        "first_name": "KARI",
        "name_prefix": "Ms.",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-15",
        "last_updated": "2014-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "MN",
            "license": "A1122",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jesse Katzman, L.AC.
• Julie Anne Kaufman, MA, LPC, RYT-200
• Kari Kelcher, LMFT
• Michelle Marie Kellum, LADC
• John Curtis Kelly, PA-C
• Virginia Kelly
• Jacob William Kemper, RDMS (AB)
• Emily Kennebeck, M.S., CCC-SLP
• Rachel Maya Kessler, MSW, LICSW
• Ethin Stanlee Kiekhafer, OD

• Physical Therapy Assistant in Stillwater, MN
• Providers in Stillwater, MN by specialty
• Physical Therapy Assistant in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2014; 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.