Individual provider Active NPI

Kelly Kristin Felten

  • Physical Therapy Assistant
  • Hagerstown, MD
National Provider Identifier
1467686113
Registry record updated Feb 6, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
A3219 Issued in MD
Practice address
1180 Kenly Ave
Apt 9
Hagerstown, MD 21740-7466
Phone
(240) 362-1982
Fax
(240) 362-1982
NPI assigned
May 11, 2009
Last updated
Feb 6, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X A3219 MD Primary

Addresses

Primary practice location

1180 Kenly Ave
Apt 9
Hagerstown, MD 21740-7466

Mailing address

1180 Kenly Ave
Apt 9
Hagerstown, MD 21740-7466
Phone (240) 362-1982

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
A3219MDMDPhysical Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1242000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1360108800000",
    "number": "1467686113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1180 KENLY AVE",
            "address_2": "APT 9",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217407466",
            "telephone_number": "240-362-1982",
            "fax_number": "240-362-1982"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1180 KENLY AVE",
            "address_2": "APT 9",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217407466",
            "telephone_number": "240-362-1982",
            "fax_number": "240-362-1982"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FELTEN",
        "first_name": "KELLY",
        "middle_name": "KRISTIN",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-05-11",
        "last_updated": "2013-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "MD",
            "license": "A3219",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hagerstown, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 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.

Verify at the official NPI Registry.