Kellogg Movement Performance Thearpy LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

KELLOGG MOVEMENT PERFORMANCE THEARPY LLC

Practice address

1956 W Prospect Rd
Ashtabula, OH 44004-6424

Phone

(330) 979-7315

NPI assigned

May 14, 2025

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Colton Kellogg, PT, DPT, CSCSNPI 1588340814

Title

Owner, Physical Therapist

Phone

(330) 979-7315

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Colton Thomas Kellogg, PT, DPT, CSCS

  • Physical Therapist
  • Erie, PA
  • NPI 1588340814
  NPD Authorized official

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

{
    "created_epoch": "1747180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747180800000",
    "number": "1821889353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6804 KINSMAN NICKERSON RD",
            "city": "KINSMAN",
            "state": "OH",
            "postal_code": "444289511",
            "telephone_number": "330-979-7315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1956 W PROSPECT RD",
            "city": "ASHTABULA",
            "state": "OH",
            "postal_code": "440046424",
            "telephone_number": "330-979-7315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KELLOGG MOVEMENT PERFORMANCE THEARPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-14",
        "last_updated": "2025-05-14",
        "certification_date": "2025-05-14",
        "status": "A",
        "authorized_official_last_name": "KELLOGG",
        "authorized_official_first_name": "COLTON",
        "authorized_official_title_or_position": "OWNER, PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "330-979-7315",
        "authorized_official_credential": "PT, DPT, CSCS"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1588340814",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carrie Kaydo, LPN
• Daniel Brian Keaton, M.D.
• Karen Lynn Keener, LMT, AT
• Keith L Davis MD
• Kristen Marie Kelley, LPN
• Morghan Kelly
• Tauri Lynn Kelly, LPN
• Margaret Mary Kelner, COTA/L
• Kelley E Kemp
• Carol G Kercher, CRNP

• Physical Therapist in Ashtabula, OH
• Providers in Ashtabula, OH by specialty
• Physical Therapist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.