KELSEY WILDE (NPI# 1427465962) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1427465962 |
Entity Type | Individual |
Full Name | KELSEY WILDE |
Credential | DPT |
Practice Address |
441 Werth Blvd. Newberg OR 97123 |
Practice Telephone | 5035389436 |
Mailing Telephone | 5035389436 |
Enumeration Date | 2014-07-16 |
Last Update Date | 2014-08-20 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2251G0304X |
Physical Therapist Specialization: Geriatrics |
60690 | OR | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Street Address |
441 WERTH BLVD. |
City | NEWBERG |
State | OR |
Zip Code | 97123 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1851916241 | Gabriel Lawrence | Physical Therapist | 2973 Se 79th Ave., Hillsboro, OR 97123 | 2020-06-11 |
1487278453 | Jordan Gregory Evans | Student in an Organized Health Care Education/Training Program | Creighton Hall 222 Se 8th Ave, Hillsboro, OR 97123 | 2020-06-04 |
1124641006 | Jessica Anne Bramlett | Student in an Organized Health Care Education/Training Program | 228 Southeast 8th Avenue, Suite 536, Hillsboro, OR 97123 | 2020-05-26 |
1003448168 | Madelyn Vogt | Community Health Worker | 862 Se Oak Street, Suite 2a, Hillsboro, OR 97123 | 2020-02-06 |
1215435789 | Renise Harrel | Massage Therapist | 4855 Se Tv Hwy, Suite B, Hillsboro, OR 97123 | 2018-01-30 |
1497260269 | Amy Hodges | Counselor | 222 Se 8th Ave # 212, Hillsboro, OR 97123 | 2017-12-02 |
1033623723 | Tamira L Heyob | Doula | 25600 Sw Bald Peak Rd., Hillsboro, OR 97123 | 2017-11-17 |
1134644024 | Tara Kyoko Taylor | Massage Therapist | 5289 Ne Elam Young Pkwy #130, Hillsboro, OR 97123 | 2017-08-11 |
1023543055 | Austin Simpson | Counselor | 222 Se 8th, Suite 222, Hillsboro, OR 97123 | 2017-04-27 |
1124569769 | Emergency Tooth Doctor Hillsboro, Prof. Corp. | Dentist | 752 Se Oak St, Hillsboro, OR 97123 | 2017-03-15 |
Find all providers in zip 97123 |
Taxonomy Code | 2251G0304X |
Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Classification | Physical Therapist |
Specialization | Geriatrics |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1629237029 | Kristin L Mcvay | Physical Therapist | 1900 Fulton St, Newberg, OR 97132-1806 | 2008-06-02 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1841898335 | Denise Marie Wilkinson | Physical Therapist | 17550 Provost St Ste 201a, Lake Oswego, OR 97034-5199 | 2020-10-15 |
1295290674 | Gregory Charles Helms | Physical Therapist | 2020 Nw Fawnee Dr, Corvallis, OR 97330-2869 | 2019-02-09 |
1770943706 | Noreen P Caulfield | Physical Therapist | 6326 Se 67th Ave, Portland, OR 97206-6504 | 2016-03-03 |
1881004216 | Arleen Norkitis | Physical Therapist | 7320 Sw Hunziker, Suite 203, Tigard, OR 97223 | 2014-05-07 |
1528407434 | Roberta Ann Fort | Physical Therapist | 8881 Nw Pike Rd, Yamhill, OR 97148-8208 | 2013-06-24 |
1255698411 | Eric J Smith | Physical Therapist | 7805 Se 35th Ave, Portland, OR 97202-8409 | 2012-04-12 |
1588974984 | Balance & Low Vision Solutions, LLC | Physical Therapist | 2846 Sw Multnomah Blvd, Portland, OR 97219-3936 | 2010-10-19 |
1780908749 | Ayako Sakata | Physical Therapist | 30900 Sw Parkway Ave., Wilsonville, OR 97070 | 2010-03-19 |
1982931747 | Sarah Logan | Physical Therapist | 346 S 42nd Pl, Springfield, OR 97478-5933 | 2009-11-14 |
1023262151 | Julianne Marie Wilson | Physical Therapist | 23065 Sw Main St, Sherwood, OR 97140-6208 | 2008-11-17 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.