Active NPI
Kelsay N Mares, PTA
- Physical Therapy Assistant
- Visalia, CA
National Provider Identifier
1649137316
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 53408
- Practice address
- 400 W Mineral King Ave
Visalia, CA 93291-6237 - Phone
- (559) 624-2000
- NPI assigned
- Jan 6, 2026
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 53408 | CA | Primary |
Addresses
Primary practice location
400 W Mineral King Ave
Visalia, CA 93291-6237
Mailing address
400 W Mineral King Ave
Visalia, CA 93291-6237
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 |
|---|---|---|---|
| 53408 | CA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1767657600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1776816000000",
"number": "1649137316",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 W MINERAL KING AVE",
"city": "VISALIA",
"state": "CA",
"postal_code": "932916237"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 W MINERAL KING AVE",
"city": "VISALIA",
"state": "CA",
"postal_code": "932916237",
"telephone_number": "559-624-2000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARES",
"first_name": "KELSAY",
"middle_name": "N",
"credential": "PTA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2026-01-06",
"last_updated": "2026-04-22",
"certification_date": "2026-04-22",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Therapy Assistant",
"state": "CA",
"license": "53408",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Visalia, CA
- Mariela Maravilla
- Thomas Marchbanks
- Anthony Joseph Marciano
- Ronald Marconi, MD
- Christina Marcoux
- Gabriela Margil, LCSW
- Margo Molina Denison Licensed Marriage and Family Therapist Professional Corporation
- Margo Molina Denison LMFT
- Cheryll Anne Gatchalian Mariano-Panggat, MD
- Aaliyah Celeste Marin, M.S.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.