Active NPI
Kelsey Lynn Schieldge
- Physical Therapist
- Federal Way, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT60885886
- Practice address
- 33501 1St Way S
Federal Way, WA 98003-6208 - Phone
- (253) 838-2400
- Fax
- (253) 874-1637
- NPI assigned
- Nov 9, 2018
- 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 Therapist | 225100000X | |||
| Physical Therapist | 225100000X | PT60885886 | WA | Primary |
Addresses
Primary practice location
33501 1St Way S
Federal Way, WA 98003-6208
Mailing address
33501 1St Way S
Federal Way, WA 98003-6208
Phone (253) 838-2400
Other practice location 1
3943 E Megan St
Gilbert, AZ 85295-0289
Phone (253) 350-7753
Other names 1
- Kelsey Lynn Crowder
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
33501 1St Way S
Federal Way, WA 98003-6208
Phone (253) 838-2400
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Virginia Mason Medical Center | Multi-Specialty | Current | Accepting new patients |
| Virginia Mason Medical Center | Multi-Specialty | Current | Accepting new patients |
| Virginia Mason Medical Center | Multi-Specialty | Current | Accepting new patients |
| Virginia Mason Medical Center | Single Specialty | Past | Accepting new patients |
| BHSM Rehabilitation, LLC | Past | Accepting new patients |
Locations
380 Winslow Way E
Bainbridge Island, WA 98110
Phone (206) 842-5632
33501 1st Way S
Federal Way, WA 98003
Phone (253) 838-2400
925 Seneca St
Seattle, WA 98101
Phone (206) 341-0860
4575 Sand Point Way NE
Ste 108
Seattle, WA 98105
Phone (206) 525-8000
1100 9th Ave
Seattle, WA 98101
Phone (206) 223-6980
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/66ad9a50-d7f7-4c21-b933-2ba90047388e/
Organizations & group practices 5
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.
-
- General Acute Care Hospital
- Seattle, WA
- NPI 1801851258
Multi-Specialty
-
dba Virginia Mason Medical Center-Winslow Clinic
- Family Medicine Physician
- Bainbridge Island, WA
- NPI 1730237942
Multi-Specialty
-
dba St Joseph Medical Center
- Interventional Cardiology Physician
- Tacoma, WA
- NPI 1821711953
Multi-Specialty
-
dba Virginia Mason Medical Center-Gastroenterology
- Gastroenterology Physician
- Seattle, WA
- NPI 1003970989
Single Specialty
-
dba Banner Physical Therapy
- Physical Therapy Clinic/Center
- Payson, AZ
- NPI 1497222632
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1541721600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1666051200000",
"number": "1801364609",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "33501 1ST WAY S",
"city": "FEDERAL WAY",
"state": "WA",
"postal_code": "980036208",
"telephone_number": "253-838-2400",
"fax_number": "253-874-1637"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "33501 1ST WAY S",
"city": "FEDERAL WAY",
"state": "WA",
"postal_code": "980036208",
"telephone_number": "253-838-2400",
"fax_number": "253-874-1637"
}
],
"practiceLocations": [
{
"address_1": "3943 E Megan St",
"address_purpose": "LOCATION",
"city": "Gilbert",
"state": "AZ",
"postal_code": "852950289",
"country_code": "US",
"telephone_number": "253-350-7753",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SCHIELDGE",
"first_name": "KELSEY",
"middle_name": "LYNN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-11-09",
"last_updated": "2022-10-18",
"certification_date": "2022-10-18",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": "WA",
"license": "PT60885886",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KELSEY",
"last_name": "CROWDER",
"middle_name": "LYNN",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Federal Way, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.