Kelly N Uding, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2001032800 Issued in MO

Practice address

1620 Highway Z
Pevely, MO 63070-1511

Phone

(636) 224-7511

Fax

(636) 224-7512

NPI assigned

Aug 11, 2006

Last updated

Nov 22, 2016By the provider in NPPES

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

Other names 1

• Ms. Kelly N Laiben Former name

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Kinematic Concepts LLC

  • Physical Therapist
  • Pevely, MO
  • NPI 1104690098
  Medicare reassignment NPD Authorized official
• South St. Louis Rehabilitation Institute, Inc.

  • Physical Therapist
  • Saint Louis, MO
  • NPI 1568484681
  NPD (past)
• Westside Rehab, Inc

  • Physical Therapy Clinic/Center
  • Laurie, MO
  • NPI 1689768855
  NPD (past)

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

{
    "created_epoch": "1155254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479772800000",
    "number": "1942211057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1620 HIGHWAY Z",
            "city": "PEVELY",
            "state": "MO",
            "postal_code": "630701511",
            "telephone_number": "636-224-7511",
            "fax_number": "636-224-7512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1620 HIGHWAY Z",
            "city": "PEVELY",
            "state": "MO",
            "postal_code": "630701511",
            "telephone_number": "636-224-7511",
            "fax_number": "636-224-7512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UDING",
        "first_name": "KELLY",
        "middle_name": "N",
        "name_prefix": "Ms.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-11",
        "last_updated": "2016-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MO",
            "license": "2001032800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELLY",
            "last_name": "LAIBEN",
            "middle_name": "N",
            "prefix": "MS.",
            "credential": "PT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Pevely RX
• Pevely RX (The Medicine Shoppe Pharmacy)
• Haylie Pham, NP
• Hollie Marie Roedel, PHARMD
• Todd Wind DDS Dba Pevely Family Dentistry
• Victoria Lynn Viehman, PHARMD
• Jodi M. Walker, MA
• Jason Alexander Wang, PHARM.D.
• Warm Light Counseling, L.L.C.
• Gina Louise Whitener, COTA/L

• Physical Therapist in Pevely, MO
• Providers in Pevely, MO by specialty
• Physical Therapist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.