Kellie Hough, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

239019 Issued in WI

Practice address

29335 Eagle Ridge Dr
Burlington, WI 53105-7607

Phone

(262) 661-4523

NPI assigned

Jun 27, 2008

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

Other identifiers 1

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": "1214524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1214524800000",
    "number": "1336301654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29335 EAGLE RIDGE DR",
            "city": "BURLINGTON",
            "state": "WI",
            "postal_code": "531057607",
            "telephone_number": "262-661-4523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29335 EAGLE RIDGE DR",
            "city": "BURLINGTON",
            "state": "WI",
            "postal_code": "531057607",
            "telephone_number": "262-661-4523"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOUGH",
        "first_name": "KELLIE",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-06-27",
        "last_updated": "2008-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "WI",
            "license": "239019",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "36119900",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jonathan H Hilton, DPM
• Elijah I Hinton, PA-C
• Jacqueline Sue Hintz, LPN
• Caleb Hoffman, COTA
• Magdalena Anna Horn, NP
• Jody A Huebner, MS
• Luke J Huffman, MA
• Stephanie Ann Hughes, L.AC.
• Fouad Jamal-Ul Husnain, M.D.
• Talha Iqbal

• Physical Therapy Assistant in Burlington, WI
• Providers in Burlington, WI by specialty
• Physical Therapy Assistant in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2008; 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.