Kellie King Stuart, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

002853 Issued in KY

Practice address

2200 E Parrish Ave
LL 101
Owensboro, KY 42303-1449

Phone

(270) 684-2733

Fax

(270) 684-3326

NPI assigned

Sep 26, 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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1195430400000",
    "number": "1417058686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 E PARRISH AVE",
            "address_2": "LL 101",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423031449",
            "telephone_number": "270-684-2733",
            "fax_number": "270-684-3326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 E PARRISH AVE",
            "address_2": "LL 101",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423031449",
            "telephone_number": "270-684-2733",
            "fax_number": "270-684-3326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STUART",
        "first_name": "KELLIE",
        "middle_name": "KING",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-26",
        "last_updated": "2007-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KY",
            "license": "002853",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Madeline Brooke Stone, MS, OTR/L
• Danielle Street
• Matthew Allen Strode, D.O.
• Tommie Jo Stroud, PTA
• Harold Bryan Stuart, PT
• Mitchel Kent Stukey, D.C.
• David Sturgeon Jr., B.A.
• Donna L Sublett, APRN
• John Sublett
• Sublime Skin, LLC

• Physical Therapist in Owensboro, KY
• Providers in Owensboro, KY by specialty
• Physical Therapist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2007; 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.