Kellie Whiton, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

14139363-2401 Issued in UT

Practice address

169 N Gateway Dr Ste 210
Providence, UT 84332-9805

Phone

(435) 701-7010

Fax

(435) 701-7012

NPI assigned

Sep 1, 2016

Last updated

Feb 21, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Kellie Celeste McMahon Former name

Medicare fee-for-service enrollment

Enrolled in UT

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2016

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Little Squirts Therapy Services LLC

  • Pediatric Physical Therapist
  • Providence, UT
  • NPI 1518654730
  Medicare reassignment NPD

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

{
    "created_epoch": "1472688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740096000000",
    "number": "1326595760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "169 N GATEWAY DR STE 210",
            "city": "PROVIDENCE",
            "state": "UT",
            "postal_code": "843329805",
            "telephone_number": "435-701-7010",
            "fax_number": "435-701-7012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "169 N GATEWAY DR STE 210",
            "city": "PROVIDENCE",
            "state": "UT",
            "postal_code": "843329805",
            "telephone_number": "435-701-7010",
            "fax_number": "435-701-7012"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "520 S Eagle Rd",
            "address_purpose": "LOCATION",
            "city": "Meridian",
            "state": "ID",
            "postal_code": "836426351",
            "country_code": "US",
            "telephone_number": "208-706-5537",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WHITON",
        "first_name": "KELLIE",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-01",
        "last_updated": "2025-02-21",
        "certification_date": "2025-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "ID",
            "license": "4362",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "UT",
            "license": "14139363-2401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELLIE",
            "last_name": "MCMAHON",
            "middle_name": "CELESTE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Steven John Weber, DO
• Erin A Welker, CRNA
• Amele Paige Welliver
• White Pine Endodontics PC
• Sabrina White
• Wholelife Family Wellness Clinic of Providence PLLC
• Mandy Wilcox
• Eric Cameron Wilkes, RBT
• McKell Williams
• James Thomas Willmore, DPM

• Physical Therapist in Providence, UT
• Providers in Providence, UT by specialty
• Physical Therapist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.