Julie Condon Kellen, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT17638 Issued in FL

Practice address

1300 Shoreline Dr
Suite 104
Gulf Breeze, FL 32561-4765

Phone

(850) 932-8774

Fax

(850) 932-8705

NPI assigned

May 3, 2006

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

Enrolled in AL, FL2 enrollments

Enrollment records 2

Specialty

Physical Therapist in Private Practice

Education

Other, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

North Florida Surgeons PAGroup PAC ID 2769381391, 336 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: julie.kellen.1@9109.direct.athenahealth.com

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.

• North Florida Surgeons, PA

  • Surgery Physician
  • Jacksonville, FL
  • NPI 1912953290
  Medicare reassignment Care Compare group NPD
• North Florida Surgeons, PA

  • Orthopaedic Surgery Physician
  • Gulf Breeze, FL
  • NPI 1871442053
  NPD

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

{
    "created_epoch": "1146614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1279670400000",
    "number": "1366400954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 SHORELINE DR",
            "address_2": "SUITE 104",
            "city": "GULF BREEZE",
            "state": "FL",
            "postal_code": "325614765",
            "telephone_number": "850-932-8774",
            "fax_number": "850-932-8705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 SHORELINE DR",
            "address_2": "SUITE 104",
            "city": "GULF BREEZE",
            "state": "FL",
            "postal_code": "325614765",
            "telephone_number": "850-932-8774",
            "fax_number": "850-932-8705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLEN",
        "first_name": "JULIE",
        "middle_name": "CONDON",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-03",
        "last_updated": "2010-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT17638",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Newman Kalb, AP,LAC, MAOM
• Karen Cann
• Karen E Kennedy MD PA
• Karlee Clark LLC
• Thomas Michael Kasabian
• Karen E Kennedy, M.D.
• Brooke Ann Kessinger, FNP-C
• Christopher David Key, PA
• Monica Lee Hicks Key, RN
• Esam Khalifa, MD

• Physical Therapist in Gulf Breeze, FL
• Providers in Gulf Breeze, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2010; 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.