Kelsey Wade, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

2123968 Issued in TX

Practice address

6565 West Loop S
Bellaire, TX 77401-3500

Phone

(832) 588-3552

NPI assigned

Nov 2, 2017

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1509580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1509580800000",
    "number": "1831601665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6565 WEST LOOP S",
            "city": "BELLAIRE",
            "state": "TX",
            "postal_code": "774013500",
            "telephone_number": "832-588-3552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6565 WEST LOOP S",
            "city": "BELLAIRE",
            "state": "TX",
            "postal_code": "774013500",
            "telephone_number": "832-588-3552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WADE",
        "first_name": "KELSEY",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-02",
        "last_updated": "2017-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "TX",
            "license": "2123968",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Alice Volkert, MS RD LD CDE
• Kirstin Vollrath, MS, RD, LD
• Ann W Voss, OD
• Purviben Vyas, DDS
• Edward C Wade, M. D.
• Shahanna Wade
• David M. Wadler, D.D.S.
• Alisha Lynn Wagner, PH.D.
• Chelsea Wagner, M.S.
• Richard Wagner

• Physical Therapy Assistant in Bellaire, TX
• Providers in Bellaire, TX by specialty
• Physical Therapy Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2017; 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.