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KELLEY B PENROSE MPT,CCI
NPI 1487750527
Physical Therapist - Orthopedic in Osceola, IN

Active since September 16, 2006
10420 ACORN CT, OSCEOLA, IN 46561(574) 238-6397 Get Directions Write a Review

NPPES record last updated: August 26, 2013. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Kelley B Penrose Mpt,cci NPPES

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

KELLEY B PENROSE MPT,CCI (NPI 1487750527) is an individual orthopedic provider in Osceola, Indiana, licensed in Indiana (05-007738A) and active in the NPI registry since September 2006.

NPPES Registry Identity

NPI1487750527
Entity TypeIndividualFemale
Primary Taxonomy2251X0800X
Provider Legal NameKELLEY B PENROSECredential: MPT,CCI
Location Address10420 ACORN CTOsceola, IN 46561-9330
Mailing AddressPo Box 796Granger, IN 46530-0796 · (574) 238-6397 · Fax (574) 329-5243
Phone(574) 238-6397
Sole ProprietorYes
Enumeration DateSeptember 16, 2006
Last NPPES UpdateAugust 26, 2013
✔ NPI 1487750527 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysical Therapist · OrthopedicRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2251X0800X
License✔ Licensed in IN · 05-007738A
Definition
A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Orthopaedic Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science; pathology/pathophysiology, pain science, medical and surgical considerations, orthopaedic physical therapy theory and practice, and critical inquiry for evidence-based practice.
Also ListedPhysical TherapistTaxonomy 225100000X · License PT21304 (FL)
10420 ACORN CT, Osceola, IN 46561
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Other Identifiers 2

Medicaid891690000FL
OtherAB762ZFL · Medicare Ptan

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 Kelley Penrose's NPI number?

The NPI number for Kelley Penrose is 1487750527. It was assigned to this individual provider in the NPPES registry on September 16, 2006.

Where is Kelley Penrose located?

Kelley Penrose practices at 10420 Acorn Ct, Osceola, IN 46561. The listed phone number is (574) 238-6397.

What is Kelley Penrose's specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Orthopedic, with taxonomy code 2251X0800X.

When was this NPI record last updated?

The NPPES record for Kelley Penrose was last updated on August 26, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.