Active NPI
Kelli Hellwig
- Physical Therapist
- Glendale, AZ
National Provider Identifier
1447680673
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 9535
- Practice address
- 5125 N 58TH Ave
Glendale, AZ 85301-7453 - Phone
- (623) 931-5800
- NPI assigned
- Nov 25, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 9535 | AZ | Primary |
Addresses
Primary practice location
5125 N 58TH Ave
Glendale, AZ 85301-7453
Mailing address
7815 W Kerry LN
Glendale, AZ 85308-6122
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9535 | AZ | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1385337600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1385337600000",
"number": "1447680673",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7815 W KERRY LN",
"city": "GLENDALE",
"state": "AZ",
"postal_code": "853086122"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5125 N 58TH AVE",
"city": "GLENDALE",
"state": "AZ",
"postal_code": "853017453",
"telephone_number": "623-931-5800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HELLWIG",
"first_name": "KELLI",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-11-25",
"last_updated": "2013-11-25",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AZ",
"license": "9535",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Glendale, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.