Kelsie Ann McGladrey, PT
Individual provider Active NPI Physical Therapist · Bethell, WA
NPI 1699145508 · NPPES record last updated Oct 5, 2015
Key facts
- NPI
- 1699145508
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- PT60548800 (WA)
- Practice address
- 18504 Bethell Way NE
Bethell, WA 98011 - Phone
- (425) 892-2243
- Fax
- (425) 527-6948
- NPI assigned
- Oct 5, 2015
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT60548800 | WA | MD | Physical Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT60548800 | WA | Yes |
Addresses
Primary practice location
18504 Bethell Way NE
Bethell, WA 98011
Mailing address
18504 Bethell Way NE
Bethell, WA 98011
Phone (425) 892-2243
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 5, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.