Nolan Wesley Kellow, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT60100044 Issued in WA

Practice address

144 169TH St S
Suite B
Spanaway, WA 98387-8201

Phone

(253) 846-8918

Fax

(253) 846-8126

NPI assigned

Sep 11, 2009

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

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Benchmark Physical Therapy of Oregon LLCGroup PAC ID 0143510602, 124 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

83.88 of 100Reported as individual

Quality

74.48

Promoting interoperability

98

Improvement activities

40

Cost

73.44

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Benchmark Physical Therapy of Oregon LLC

  • Physical Therapist
  • Grants Pass, OR
  • NPI 1801257191

  OR, Physical Therapist

  Medicare reassignment Care Compare group NPD
• Benchmark Physical Therapy of Or, LLC

  • Physical Therapist
  • Roseburg, OR
  • NPI 1427524388
  NPD

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

{
    "created_epoch": "1252627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1259020800000",
    "number": "1972836658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9315 GRAVELLY LAKE DR SW",
            "city": "LAKEWOOD",
            "state": "WA",
            "postal_code": "984991574",
            "telephone_number": "253-581-5200",
            "fax_number": "253-581-5203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "144 169TH ST S",
            "address_2": "SUITE B",
            "city": "SPANAWAY",
            "state": "WA",
            "postal_code": "983878201",
            "telephone_number": "253-846-8918",
            "fax_number": "253-846-8126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLOW",
        "first_name": "NOLAN",
        "middle_name": "WESLEY",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-09-11",
        "last_updated": "2009-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT60100044",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE BLUE SHIELD",
            "identifier": "0048KE",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LABOR AND INDUSTRIES",
            "identifier": "0253931",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kangling Jessica Kao, CPC, CPMA, RAC-CTA
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• Nancy W Kariuki
• Kassuhn Inc
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• Frankie Mae Kennedy, LMHC, LCAS, LPC, CDP
• Michelle Kieszling
• Caroline Gesare Kingoina
• Michelle H. Kinne, ICCE CD(DONA) CLE
• Peter Kirkland Sr., CP00005495

• Physical Therapist in Spanaway, WA
• Providers in Spanaway, WA by specialty
• Physical Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2009; 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.