Kelvin Spong, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

70006539 Issued in WA

Practice address

3003 NE 201St PL
Lake Forest Park, WA 98155-1540

Phone

(206) 822-4010

NPI assigned

Aug 12, 2026

Sex

Male

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

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

{
    "created_epoch": "1786492800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786492800000",
    "number": "1851216246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3003 NE 201ST PL",
            "city": "LAKE FOREST PARK",
            "state": "WA",
            "postal_code": "981551540",
            "telephone_number": "206-822-4010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3003 NE 201ST PL",
            "city": "LAKE FOREST PARK",
            "state": "WA",
            "postal_code": "981551540",
            "telephone_number": "206-822-4010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPONG",
        "first_name": "KELVIN",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-08-12",
        "last_updated": "2026-08-12",
        "certification_date": "2026-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "70006539",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bonita Shuffain Siegel, LICSW
• Kristina Smart, MS
• Brian D Smith, PHD, M.ED
• Lucas Camden Smith, M.D.
• Hamid Sohraby
• Paul Howard Stepak, MD
• Carol Cowell Stone, MA, LMFT, LMHC
• Nina S Svino, DDS
• Christopher Shannon Taylor, M.D.
• Thrifty Payless Inc

• Physical Therapist in Lake Forest Park, WA
• Providers in Lake Forest Park, WA by specialty
• Physical Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2026; 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.