Individual provider Active NPI

Kelsey K Musgrove, DPT

  • Pediatric Physical Therapist
  • Spring, TX
National Provider Identifier
1346791175
Registry record updated Mar 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Physical TherapistTaxonomy code 2251P0200X
Practice address
16835 Deer Creek Dr Ste 120
Spring, TX 77379-5803
Phone
(281) 379-4374
NPI assigned
Oct 17, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Physical Therapist 2251P0200X Primary

Addresses

Primary practice location

16835 Deer Creek Dr Ste 120
Spring, TX 77379-5803

Mailing address

5 Snapdragon CT
The Woodlands, TX 77381-2810
Phone (903) 241-3791

Other practice location 1

4157 S Harvard Ave
Suite 101
Tulsa, OK 74135-2631
Phone (918) 949-4390

Other names 1

  • Miss Kelsey K Shull Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1476662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522108800000",
    "number": "1346791175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 SNAPDRAGON CT",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773812810",
            "telephone_number": "903-241-3791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16835 DEER CREEK DR STE 120",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773795803",
            "telephone_number": "281-379-4374"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4157 S Harvard Ave",
            "address_2": "Suite 101",
            "address_purpose": "LOCATION",
            "city": "Tulsa",
            "state": "OK",
            "postal_code": "741352631",
            "country_code": "US",
            "telephone_number": "918-949-4390",
            "fax_number": "918-792-7878",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MUSGROVE",
        "first_name": "KELSEY",
        "middle_name": "K",
        "name_prefix": "Mrs.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-17",
        "last_updated": "2018-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELSEY",
            "last_name": "SHULL",
            "middle_name": "K",
            "prefix": "MISS",
            "credential": "DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Spring, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2018; 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.