Active NPI
Kelsie Lee Janson, PTA
- Physical Therapy Assistant
- Cold Spring, KY
National Provider Identifier
1487880910
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- A02461
- Practice address
- 6385 Ridgeline Dr Unit C
Cold Spring, KY 41076-9310 - Phone
- (513) 612-0969
- NPI assigned
- Jun 10, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | A02461 | KY | Primary |
| Physical Therapy Assistant | 225200000X | PTA. 07043 | OH |
Addresses
Primary practice location
6385 Ridgeline Dr Unit C
Cold Spring, KY 41076-9310
Mailing address
6385 Ridgeline Dr Apt C
Cold Spring, KY 41076
Phone (513) 612-0969
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
| License | State | Type | Specialty |
|---|---|---|---|
| A02461 | KY | MD | Physical Therapy Assistant |
| PTA. 07043 | OH | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1244592000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1244592000000",
"number": "1487880910",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6385 RIDGELINE DR APT C",
"city": "COLD SPRING",
"state": "KY",
"postal_code": "41076",
"telephone_number": "513-612-0969"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6385 RIDGELINE DR UNIT C",
"city": "COLD SPRING",
"state": "KY",
"postal_code": "410769310",
"telephone_number": "513-612-0969"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JANSON",
"first_name": "KELSIE",
"middle_name": "LEE",
"name_prefix": "Miss",
"credential": "PTA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-06-10",
"last_updated": "2009-06-10",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "KY",
"license": "A02461",
"primary": true
},
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "OH",
"license": "PTA. 07043",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cold Spring, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.