Individual provider Active NPI

Kelly Ann Westervelt, MSPT

  • Physical Therapist
  • Spencer, IA
National Provider Identifier
1912190984
Registry record updated Sep 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
02277 Issued in IA
Practice address
20 W 6TH St
Ste 101
Spencer, IA 51301-3906
Phone
(712) 580-5008
Fax
(712) 250-2514
NPI assigned
Aug 23, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 02277 IA Primary

Addresses

Primary practice location

20 W 6TH St
Ste 101
Spencer, IA 51301-3906

Mailing address

20 W 6TH St
Ste 101
Spencer, IA 51301-3906
Phone (712) 580-5008

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081016000581 IA Practitioner - Physical Therapist in Private Practice 8022176262 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

20 W 6TH St
101 Spencer Physical Therapy
Spencer, IA 51301-3906
Phone (712) 580-5008

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Hometown Physical Therapy Holding Company LLC Physical Therapist CurrentSince Jan 2, 2019 Accepting new patients
Hometown Physical Therapy Holding Company LLC Physical Therapist CurrentSince Jan 2, 2019 Accepting new patients

Locations

612 S Highway 71
Unit 2
Arnolds Park, IA 51331
Phone (712) 336-8404

20 W 6th St
Ste 101
Spencer, IA 51301
Phone (712) 580-5008

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1187827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567728000000",
    "number": "1912190984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 W 6TH ST",
            "address_2": "STE 101",
            "city": "SPENCER",
            "state": "IA",
            "postal_code": "513013906",
            "telephone_number": "712-580-5008",
            "fax_number": "712-250-2514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 W 6TH ST",
            "address_2": "STE 101",
            "city": "SPENCER",
            "state": "IA",
            "postal_code": "513013906",
            "telephone_number": "712-580-5008",
            "fax_number": "712-250-2514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WESTERVELT",
        "first_name": "KELLY",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "MSPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-23",
        "last_updated": "2019-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IA",
            "license": "02277",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spencer, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2019; 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.

Verify at the official NPI Registry.