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Kellie Linn Connery , PT

Physical Therapist β€’ Forks, WA

Active NPI 1013482132 Individual Practitioner Female Practitioner
Practice location in NPPES

530 Bogachiel Way
Forks, WA 98331

Call 3603746271 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

530 Bogachiel Way

Forks, WA 98331

Telephone 3603746271
Fax 3603742520
Organization at the Same NPPES Address or Phone
Clallam County Public Hospital District No 1 Facility NPI 1790869592

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2018

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Forks and Washington

4 active clinicians are listed under Physical Therapist with a practice address in Forks, WA (7,500 in Washington).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Physical Therapist Primary Specialty

NUCC Taxonomy Code: 225100000X

License # reported to NPPES WA PT60914300

Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs: 1.Diagnose and manage movement dysfunction and enhance physical and functional abilities. 2.Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health. 3.Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries. 4.Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems. 5.Address the negative effects attributable to unique personal and environmental factors as they relate to human performance. 6.PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.

Physical Therapist

NUCC Taxonomy Code: 225100000X

License # reported to NPPES OR 62705

Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs: 1.Diagnose and manage movement dysfunction and enhance physical and functional abilities. 2.Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health. 3.Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries. 4.Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems. 5.Address the negative effects attributable to unique personal and environmental factors as they relate to human performance. 6.PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Washington State Department of Health Provider Lookup.
Look Up on State Board Site

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

5 listed
NPI 1962470138

Doctor of Medicine (M.D.)

Vernon Rondeau

Nurse Practitioner - Family

NPI 1700382843
Dr. Anand Selvam , MD

Emergency Medicine

NPI 1962769760

Doctor of Medicine (M.D.)

Dr. John Shima , MD

Emergency Medicine

NPI 1598706103

Doctor of Medicine (M.D.)

Elizabeth Yeater , ARNP

Nurse Practitioner - Critical Care Medicine

NPI 1093367005

Advanced Registered Nurse Practitioner

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

9 Historical Events
πŸ“
Updated Practice Location August 21, 2024

Registered at 530 BOGACHIEL WAY, FORKS, WA 98331 (Tel: 3603746271)

πŸ“
Updated Business Mailing Address August 21, 2024

Registered at 530 BOGACHIEL WAY, FORKS, WA 98331 (Tel: 3603746271)

πŸ‘€
Provider Name / Credentials Updated August 21, 2024

Recorded as KELLIE CONNERY, P.T.

βœ…
NPI Profile Active October 04, 2018

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) October 04, 2018

Registered at 4049 MARKET ST SE, SALEM, OR 97301 (Tel: 5036891530)

πŸ“
Business Mailing Address (Initial Record) October 04, 2018

Registered at 5167 RIVER RD N, KEIZER, OR 973035349 (Tel: 5039677874)

πŸ‘€
Provider Name / Credentials (Initial Record) October 04, 2018

Recorded as KELLIE HANSEN, DPT

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) October 04, 2018

Physical Therapist (license number reported to NPPES: OR 62705)

🟒
Initial NPI Registration & Enumeration October 04, 2018

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1013482132
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 04, 2018
Last Update: August 21, 2024
Sole Proprietor: No

Mailing Address

530 Bogachiel Way

Forks, WA 98331

Phone: 3603746271

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.