Lisa H Kelly, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT00005613 Issued in WA

Practice address

5334 Olympic Dr NW
Suite 101
Gig Harbor, WA 98335-1722

Phone

(253) 853-5155

Fax

(253) 853-5150

NPI assigned

Dec 1, 2006

Sex

Female

Sole proprietor

Yes

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

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.

• Harbor Children'S Therapy, L.L.C.

  • Clinic/Center
  • Gig Harbor, WA
  • NPI 1619907300
  NPD (past)

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

{
    "created_epoch": "1164931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1336217744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5334 OLYMPIC DR NW",
            "address_2": "SUITE 101",
            "city": "GIG HARBOR",
            "state": "WA",
            "postal_code": "983351722",
            "telephone_number": "253-853-5155",
            "fax_number": "253-853-5150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5334 OLYMPIC DR NW",
            "address_2": "SUITE 101",
            "city": "GIG HARBOR",
            "state": "WA",
            "postal_code": "983351722",
            "telephone_number": "253-853-5155",
            "fax_number": "253-853-5150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLY",
        "first_name": "LISA",
        "middle_name": "H",
        "name_prefix": "Ms.",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT00005613",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Keiko J Wada DMD
• Keith Gressell DMD PLLC
• Maureen Elizabeth Kelley, LMP
• Colleen Patricia Kelly
• Kaitlin M Kelly, PA-C
• Kelsey Roth Counseling Services, PLLC
• Kelsey Weiland LMP
• Laurel C Kelso, LCSW
• Tonja Lynn Kendrick, LMFT
• Michael Kenner, PAC

• Physical Therapist in Gig Harbor, WA
• Providers in Gig Harbor, WA by specialty
• Physical Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.