Kelly Lunda Physical Therapy P.S.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT00003769 Issued in WA

Legal business name

KELLY LUNDA PHYSICAL THERAPY P.S.

Doing business as

KLS Physical Therapy

Practice address

960 Harris Ave Ste 203
Bellingham, WA 98225-7025

Phone

(360) 733-1682

Fax

(360) 746-3140

NPI assigned

Sep 22, 2006

Last updated

Dec 15, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kelly Sampson, PHYSICAL THERAPIST

Title

Owner/PT

Phone

(360) 733-1682

Specialties & licenses 1

Addresses

Other names 1

• KLS Physical Therapy Doing business as

Locations

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

{
    "created_epoch": "1158883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1481760000000",
    "number": "1477653434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2804 UNDINE ST",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982263763",
            "telephone_number": "360-733-1682",
            "fax_number": "360-746-3140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "960 HARRIS AVE STE 203",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982257025",
            "telephone_number": "360-733-1682",
            "fax_number": "360-746-3140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KELLY LUNDA PHYSICAL THERAPY P.S.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-22",
        "last_updated": "2016-12-15",
        "status": "A",
        "authorized_official_last_name": "SAMPSON",
        "authorized_official_first_name": "KELLY",
        "authorized_official_title_or_position": "OWNER/PT",
        "authorized_official_telephone_number": "360-733-1682",
        "authorized_official_credential": "PHYSICAL THERAPIST"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT00003769",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "KLS Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Cheryl Ann Kellert, M.D.
• Bailey Kelley, LMT
• Mara Wells Kelley, MD
• Mary-Ann Ruth Kelley, CDP
• Betty J. Kellow
• Cameron E Kelly, MHCA
• Jonna M Kelly, PA-C
• Kalin Kelly, LMT
• Richard Kelly, MD
• Kelsey Karolyn Counseling PLLC

• Physical Therapist in Bellingham, WA
• Providers in Bellingham, WA by specialty
• Physical Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2016; 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.