KELLEN JAMES CAMERON DPT
NPI 1164144002
Physical Therapist in Maple Grove, MN

Active since September 16, 2022
7767 ELM CREEK BLVD N STE 160, MAPLE GROVE, MN 55369(763) 201-8191(763) 201-8192 Get Directions Write a Review

NPPES record last updated: September 16, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Kellen James Cameron Dpt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KELLEN JAMES CAMERON DPT (NPI 1164144002) is an individual physical therapist in Maple Grove, Minnesota, licensed in Minnesota (12872) and active in the NPI registry since September 2022. He is a graduate of Other (2022).

NPPES Registry Identity

NPI1164144002
Entity TypeIndividualMale
Primary Taxonomy225100000X
Provider Legal NameKELLEN JAMES CAMERONCredential: DPT
Location Address7767 ELM CREEK BLVD N STE 160Maple Grove, MN 55369-7078
Mailing Address9645 Grove Cir N Ste 200Maple Grove, MN 55369-2684 · (763) 201-8191
Fax(763) 201-8192
Sole ProprietorYes
Medical School CMSOtherGraduated 2022
Enumeration DateSeptember 16, 2022
NPPES CertifiedSeptember 16, 2022
✔ NPI 1164144002 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
License✔ Licensed in MN · 12872
Definition
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:
  • Diagnose and manage movement dysfunction and enhance physical and functional abilities.
  • 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.
  • Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
  • Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
  • Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
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.
7767 ELM CREEK BLVD N STE 160, Maple Grove, MN 55369

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kellen James Cameron Dpt is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6305213075
PECOS Enrollment IDI20221109001689

Medicare Billing Reassignment

Medicare enrollment records show Kellen Cameron reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Specialist
9645 GROVE CIR N STE 200
Maple Grove, MN 55369
  • Reassigned Medicare billing, Minnesota enrollment
  • 43 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes 97110
This therapy involves exercises to boost strength, endurance, flexibility, and range of motion. Each session lasts 15 minutes. The goal is to improve physical function and overall health. It's a safe, beneficial method for enhancing well-being and fitness.
624 services80 patients
Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes 97112
This therapy helps retrain your brain, nerves, and muscles to work together. Through targeted exercises, your body learns to regain lost functions or improve current abilities. Each session lasts 15 minutes.
296 services64 patients
Evaluation for physical therapy, typically 20 minutes 97161
An evaluation for physical therapy is a short, 20-minute assessment where your physical condition, mobility, and pain levels are examined. This helps in designing a personalized therapy plan to enhance your physical function and well-being.
43 services43 patients

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Occupational Therapist
7767 ELM CREEK BLVD N STE 160
MAPLE GROVE, MN 55369
Occupational Therapist
7767 ELM CREEK BLVD N STE 160
MAPLE GROVE, MN 55369
Physical Therapist
7767 ELM CREEK BLVD N STE 160
MAPLE GROVE, MN 55369
Physical Therapy Assistant
7767 ELM CREEK BLVD N STE 160
MAPLE GROVE, MN 55369
Physical Therapist
7767 ELM CREEK BLVD N STE 160
MAPLE GROVE, MN 55369
Occupational Therapist
7767 ELM CREEK BLVD N STE 160
MAPLE GROVE, MN 55369
Physical Therapist
7767 ELM CREEK BLVD N STE 160
MAPLE GROVE, MN 55369
Physical Therapy Assistant
7767 ELM CREEK BLVD N STE 160
MAPLE GROVE, MN 55369

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kellen Cameron's NPI number?

The NPI number for Kellen Cameron is 1164144002. It was assigned to this individual provider in the NPPES registry on September 16, 2022.

Where is Kellen Cameron located?

Kellen Cameron practices at 7767 Elm Creek Blvd N Ste 160, Maple Grove, MN 55369. The listed phone number is (763) 201-8191.

What is Kellen Cameron's specialty?

The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.

Is Kellen Cameron enrolled in Medicare?

Yes. Kellen Cameron is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kellen Cameron's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kellen Cameron reassigns Medicare benefits to Interventional Spine And Pain Physicians, PA (Maple Grove, MN). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kellen Cameron's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Kellen Cameron was last updated on September 16, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.