Active NPI
Ian M McKelvey, PT
- Physical Therapist
- Puyallup, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT 60532240
- Practice address
- 3912 10TH St SE
Ste 101
Puyallup, WA 98374-2188 - Phone
- (253) 848-4700
- Fax
- (253) 848-2284
- NPI assigned
- Sep 21, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT022469 | PA | |
| Physical Therapist | 225100000X | PT 60532240 | WA | Primary |
Addresses
Primary practice location
3912 10TH St SE
Ste 101
Puyallup, WA 98374-2188
Mailing address
790 Remington Blvd
Bolingbrook, IL 60440-4909
Phone (630) 296-2222
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
73 Old Dublin Pike
Suite 6
Doylestown, PA 18901-2491
Phone (215) 489-1701
Merit-based Incentive Payment System (MIPS)
- Final score
- 86.05 of 100
- Quality
- 89.12
- Improvement activities
- 40
- Cost
- 73.46
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT022469 | PA | MD | Physical Therapist |
| PT 60532240 | WA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ati Holdings, LLC | Physical Therapist | Current | Accepting new patients |
| Ati Holdings, LLC | Physical Therapist | Current | Accepting new patients |
| Ati Holdings, LLC | Past | Accepting new patients | |
| Ati Holdings, LLC | Physical Therapist | Past | Accepting new patients |
Locations
790 Remington Blvd
Bolingbrook, IL 60440
4947 Paysphere Cir
Chicago, IL 60674
Phone (630) 783-2001
44 W Skippack Pike
Ambler, PA 19002
Phone (267) 419-2020
101 W City Ave
Ste B
Bala Cynwyd, PA 19004
Phone (484) 270-9170
2641 Street Rd
Bensalem, PA 19020
Phone (267) 525-0135
220 Commerce Cir
Bristol, PA 19007
Phone (215) 826-8089
28 E Ridge Pike
#A3
Conshohocken, PA 19428
Phone (484) 533-2692
73 Old Dublin Pike
Ste 6
Doylestown, PA 18901
Phone (215) 348-0666
634 Old York Rd
Jenkintown, PA 19046
Phone (215) 881-9181
2022 E Old Lincoln Hwy
Ste 6
Langhorne, PA 19047
Phone (215) 891-5150
776 Bethlehem Pike
#2
Montgomeryville, PA 18936
Phone (267) 328-1310
770 Newtown Yardley Rd
Newtown, PA 18940
Phone (215) 860-2990
626 Market St
Philadelphia, PA 19106
1100 S Christopher Columbus Blvd
Ste 25
Philadelphia, PA 19147
Phone (267) 592-4508
7164 Ridge Ave
Ste 17A
Philadelphia, PA 19128
Phone (267) 748-2430
180 W Girard Ave
Ste 1
Philadelphia, PA 19123
Phone (267) 592-4033
2121 Cottman Ave
#14
Philadelphia, PA 19149
Phone (267) 668-1891
9475 Roosevelt Blvd
Philadelphia, PA 19114
Phone (215) 464-6200
9475 Roosevelt Blvd
#B4
Philadelphia, PA 19114
Phone (215) 464-6200
682 N West End Blvd
Ste B
Quakertown, PA 18951
118 Townsedge Dr
Quarryville, PA 17566
Phone (717) 806-5126
1810 E Ridge Pike
Ste 102
Royersford, PA 19468
Phone (484) 902-1460
300 Upland Sq Dr
Stowe, PA 19464
Phone (610) 340-1527
630 Easton Rd
Warrington, PA 18976
Phone (215) 491-5961
Organizations & group practices 4
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.
-
- Physical Therapy Clinic/Center
- Rising Sun, MD
- NPI 1396781050
PA, Physical Therapist
-
- Durable Medical Equipment & Medical Supplies
- King of Prussia, PA
- NPI 1750194460
Physical Therapist
-
- Durable Medical Equipment & Medical Supplies
- Forest Hill, MD
- NPI 1013109099
-
- Durable Medical Equipment & Medical Supplies
- Wilmington, DE
- NPI 1194918045
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1348185600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1435536000000",
"number": "1396096087",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "790 REMINGTON BLVD",
"city": "BOLINGBROOK",
"state": "IL",
"postal_code": "604404909",
"telephone_number": "630-296-2222",
"fax_number": "630-759-9510"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3912 10TH ST SE",
"address_2": "STE 101",
"city": "PUYALLUP",
"state": "WA",
"postal_code": "983742188",
"telephone_number": "253-848-4700",
"fax_number": "253-848-2284"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCKELVEY",
"first_name": "IAN",
"middle_name": "M",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-09-21",
"last_updated": "2015-06-29",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "PA",
"license": "PT022469",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WA",
"license": "PT 60532240",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Puyallup, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2015; 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.