Kelsey Faller, PTA, ATC, LAT

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

A03736 Issued in KY

Practice address

775 Alexandria Pike
Fort Thomas, KY 41075-2166

Phone

(859) 572-1689

NPI assigned

Dec 21, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 4

Addresses

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": "1450656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671408000000",
    "number": "1417312307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "775 ALEXANDRIA PIKE",
            "city": "FORT THOMAS",
            "state": "KY",
            "postal_code": "410752166",
            "telephone_number": "859-572-1689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "775 ALEXANDRIA PIKE",
            "city": "FORT THOMAS",
            "state": "KY",
            "postal_code": "410752166",
            "telephone_number": "859-572-1689"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7575 5 Mile Rd",
            "address_purpose": "LOCATION",
            "city": "Cincinnati",
            "state": "OH",
            "postal_code": "452304346",
            "country_code": "US",
            "telephone_number": "513-233-4360",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FALLER",
        "first_name": "KELSEY",
        "name_prefix": "Mrs.",
        "credential": "PTA, ATC, LAT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-12-21",
        "last_updated": "2022-12-19",
        "certification_date": "2022-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "OH",
            "license": "PTA011628",
            "primary": false
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "OH",
            "license": "AT.004854",
            "primary": false
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "KY",
            "license": "AT1326",
            "primary": false
        },
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "KY",
            "license": "A03736",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carolina Caldera Ehlinger, PH.D
• Michael N Elleman, M.D.
• Andrew Elliott, M.D.
• Daryl Leon Emery, MD
• Amy Fahey, PH.D.
• Mackenzie Farmer, OTR/L
• Ryan P Faulkner, PSY.D
• Benjamin James Favier, M.D.
• Teri Fetters, MSN, RN
• Julie Finn, SOLE PROPRIETOR

• Physical Therapy Assistant in Fort Thomas, KY
• Providers in Fort Thomas, KY by specialty
• Physical Therapy Assistant in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2022; 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.