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KIMBERLEE JANETTE DESPAIN ELLISON PT, DPT, C/NDT
NPI 1326441940
Physical Therapist - Pediatrics in Phoenix, AZ

Active since September 28, 2014
2302 N 15TH AVE, PHOENIX, AZ 85007(623) 242-6908 Get Directions Write a Review

NPPES record last updated: April 29, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Kimberlee Janette Despain Ellison Pt, Dpt, C/ndt NPPES

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

KIMBERLEE JANETTE DESPAIN ELLISON PT, DPT, C/NDT (NPI 1326441940) is an individual pediatrics provider in Phoenix, Arizona, licensed in Arizona (LPT-30638) and active in the NPI registry since September 2014. She maintains a secondary practice location in Kent.

NPPES Registry Identity

NPI1326441940
Entity TypeIndividualFemale
Primary Taxonomy2251P0200X
Provider Legal NameKIMBERLEE JANETTE DESPAIN ELLISONCredential: PT, DPT, C/NDT
Location Address2302 N 15TH AVEPhoenix, AZ 85007-1201
Mailing Address2302 N 15th AvePhoenix, AZ 85007-1201 · (623) 242-6908
Phone(623) 242-6908
Sole ProprietorYes
Enumeration DateSeptember 28, 2014
Last NPPES UpdateApril 29, 2019
✔ NPI 1326441940 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysical Therapist · PediatricsRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2251P0200X
Licenses✔ Licensed in AZ · LPT-30638✔ Licensed in WA · PT60439302
Definition
A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development, genetics, biomechanics, neurological function, neuroscience, and pathology, behavioral sciences, and understanding of diseases or conditions that necessitate physical therapy care, that affect systems that in turn necessitate physical therapy care (comorbidities), and that influence the type of intervention that can be given.
Also ListedPhysical TherapistTaxonomy 225100000X · License PT60439302 (WA)
2302 N 15TH AVE, Phoenix, AZ 85007
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Other Names 1

Former Name (1)Kimberlee Janette Despain Odlaug Pt, Dpt

Secondary Practice Location 1

Location 110811 SE Kent Kangley RdKent, WA 98030-7108 · Phone (253) 854-5660 · Fax (253) 854-7025

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Blue Cross Blue Shield of Arizona, Oscar Health Plan, Inc..Insurance ›

Other Providers at the Same Location NPPES 20

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

ARIZONA ORTHOPEDIC PHYSICAL THERAPY, PLLC
Physical Medicine & Rehabilitation
2302 N 15TH AVE
PHOENIX, AZ 85007
Maricopa County (623) 242-6908
RACHEL KAYS DPT
Physical Therapist
2302 N 15TH AVE
PHOENIX, AZ 85007
Maricopa County (602) 362-6223
JESSICA ELLEN FAULKENBERRY
Speech-Language Pathologist
2302 N 15TH AVE
PHOENIX, AZ 85007
Maricopa County (602) 265-4124
ELIZABETH HOFFMAN SLP
Speech-Language Pathologist
2302 N 15TH AVE
PHOENIX, AZ 85007
Maricopa County (602) 362-6223
LAURYN BATES
Speech-Language Pathologist
2302 N 15TH AVE
PHOENIX, AZ 85007
Maricopa County (623) 242-6908
SARAH CHANDLER PARKER OTR/L
Occupational Therapist
2302 N 15TH AVE
PHOENIX, AZ 85007
Maricopa County (919) 381-8889
CHANTAL SCOTT PT, DPT
Physical Therapist
2302 N 15TH AVE
PHOENIX, AZ 85007
Maricopa County (623) 242-6908
MELISSA LEE WEBB OTD
Occupational Therapist
2302 N 15TH AVE
PHOENIX, AZ 85007
Maricopa County (602) 362-6223

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 Kimberlee Ellison's NPI number?

The NPI number for Kimberlee Ellison is 1326441940. It was assigned to this individual provider in the NPPES registry on September 28, 2014. The provider is also known as Kimberlee Janette Despain Odlaug Pt, Dpt.

Where is Kimberlee Ellison located?

Kimberlee Ellison practices at 2302 N 15th Ave, Phoenix, AZ 85007. The listed phone number is (623) 242-6908.

What is Kimberlee Ellison's specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Pediatrics, with taxonomy code 2251P0200X.

What insurance does Kimberlee Ellison accept?

Health plans from Ambetter from Arizona Complete Health, Blue Cross Blue Shield of Arizona and Oscar Health Plan, Inc. list Kimberlee Ellison as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kimberlee Ellison was last updated on April 29, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.