Kelsey Nicole Raddawi, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

10016 Issued in MN

Practice address

501 State St N
Waseca, MN 56093-2811

Phone

(507) 781-8261

NPI assigned

Oct 20, 2017

Last updated

Oct 20, 2017By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Enrolled in MD, DC2 enrollments

Enrollment records 2

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• LHMG Physical Therapy, LLC

  • Physical Therapy Clinic/Center
  • Annapolis, MD
  • NPI 1396122842

  Physical Therapist

  Medicare reassignment NPD
• LHMG Physical Therapy, LLC

  • Physical Therapist
  • Bowie, MD
  • NPI 1750769055

  DC

  Medicare reassignment NPD
• LHMG Physical Therapy, LLC

  • Physical Therapist
  • Easton, MD
  • NPI 1104355189
  NPD
• LHMG Physical Therapy, LLC

  dba AAMG Physical Therapy Cape St. Claire

  • Physical Therapist
  • Annapolis, MD
  • NPI 1134763212
  NPD
• Deer River Healthcare Center, Inc.

  dba Essentia Health Deer River

  • Critical Access Hospital
  • Deer River, MN
  • NPI 1225049018
  NPD (past)
• Polinsky Medical Rehabilitation Center

  dba Essentia Health Polinsky Medical Rehabilitation Center

  • Rehabilitation Clinic/Center
  • Duluth, MN
  • NPI 1639237746
  NPD (past)

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

{
    "created_epoch": "1508457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1508457600000",
    "number": "1801307574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 STATE ST N",
            "city": "WASECA",
            "state": "MN",
            "postal_code": "560932811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 STATE ST N",
            "city": "WASECA",
            "state": "MN",
            "postal_code": "560932811",
            "telephone_number": "507-781-8261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RADDAWI",
        "first_name": "KELSEY",
        "middle_name": "NICOLE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-20",
        "last_updated": "2017-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MN",
            "license": "10016",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Craig Albert Peterson, D.D.S.
• Phoenix Recovery Programs, Inc.
• Paige Pittmann, LICSW
• David A Pope, M.D.
• Rachel's Light
• Indira Raub
• Skylar Retterath
• Pamela K Rew
• Dale Rudolph, RPH
• Kim Rux, RPH

• Physical Therapist in Waseca, MN
• Providers in Waseca, MN by specialty
• Physical Therapist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.