Gwen L Kellogg, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

11-00557 Issued in KS

Practice address

1504 SW 8TH Ave
Topeka, KS 66606-1632

Phone

(785) 235-6600

NPI assigned

Nov 17, 2017

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

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": "1510876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1510876800000",
    "number": "1376057067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2725 MISSOURI ST",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "660464547",
            "telephone_number": "785-865-8007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1504 SW 8TH AVE",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666061632",
            "telephone_number": "785-235-6600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLOGG",
        "first_name": "GWEN",
        "middle_name": "L",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-17",
        "last_updated": "2017-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KS",
            "license": "11-00557",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KANSAS BOARD OF HEALING ARTS",
            "identifier": "11-00557",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Teresa Kellerman, ARNP
• Demarus Kelley
• Josiah Robert Nelson Kelley, PHARMD, RPH
• Lorraine Carol Kelley, NNP-BC
• Christina A Kellim
• Kelly B Deeter, DDS, CHTD
• Kelly House
• Kelly House Operations LLC
• Kelly House Operations, LLC
• Ashley B Kelly

• Physical Therapist in Topeka, KS
• Providers in Topeka, KS by specialty
• Physical Therapist in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2017; 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.