Kelsey Nicole Abear, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

54121 Issued in CA

Practice address

795 Farmers LN Ste 10
Santa Rosa, CA 95405-6718

Phone

(707) 571-7615

Fax

(707) 571-8601

NPI assigned

Jul 21, 2025

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Stithem & Johnson Physical Therapy Inc.

  • Physical Therapy Clinic/Center
  • Santa Rosa, CA
  • NPI 1831386838
  NPD (past)
• Stithem & Johnson Physical Therapy, Inc.

  • Physical Therapy Clinic/Center
  • Santa Rosa, CA
  • NPI 1982689675
  NPD (past)

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

{
    "created_epoch": "1753056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753660800000",
    "number": "1629950852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "795 FARMERS LN STE 10",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954056718",
            "telephone_number": "707-571-7615",
            "fax_number": "707-571-8601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "795 FARMERS LN STE 10",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954056718",
            "telephone_number": "707-571-7615",
            "fax_number": "707-571-8601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABEAR",
        "first_name": "KELSEY",
        "middle_name": "NICOLE",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-07-21",
        "last_updated": "2025-07-28",
        "certification_date": "2025-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapy Assistant",
            "state": "CA",
            "license": "54121",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Allen Abbott, D.D.S., M.S.
• Sarah Abbott
• Angela Abboud, MMS, PA-C
• Abc: Association of Behavior Consultants
• Rami Y Abdou, M.D.
• Maxeem Rana Abedi-Tari
• Erin Dawson Abel, DDS
• Sandra Aberle
• Abode Services
• Joshua Kovoor Abraham

• All providers in Santa Rosa, CA
• Physical Therapy Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2025; 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.