Active NPI
Kelli Stevens
- Physical Therapy Assistant
- Bristol, VA
National Provider Identifier
1821818659
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- Practice address
- 245 North St
Bristol, VA 24201-3274 - Phone
- (276) 669-4711
- NPI assigned
- Oct 16, 2024
- Last updated
- Oct 16, 2024
- Sex
- Female
- Sole proprietor
- No
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 | Primary |
Addresses
Primary practice location
245 North St
Bristol, VA 24201-3274
Mailing address
18175 Westwood Dr
Abingdon, VA 24211-6923
Phone (207) 859-0991
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1729036800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1729036800000",
"number": "1821818659",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18175 WESTWOOD DR",
"city": "ABINGDON",
"state": "VA",
"postal_code": "242116923",
"telephone_number": "207-859-0991"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "245 NORTH ST",
"city": "BRISTOL",
"state": "VA",
"postal_code": "242013274",
"telephone_number": "276-669-4711"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEVENS",
"first_name": "KELLI",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-10-16",
"last_updated": "2024-10-16",
"certification_date": "2024-10-16",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bristol, VA
- Southwest Virginia Community Health Systems Inc. (John Battle High School)
- Southwest Virginia Community Health Systems Inc. (High Point Elementary School)
- Spark Dental VA, PLLC
- Jennifer Hodgson Spitzer, RD, LDN
- Alison Daniela Starkey, PA-C
- Lisa Stevens, R.D.H
- Katelyn Kennedy Stone, OT
- Laurie Marie Street
- Kelsie Strong, NP
- Sugar Hollow Medical
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.