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KELLIE NIELSEN DPT
NPI 1548813280
Physical Therapist - Pediatrics in Davis, CA

Active since July 22, 2019
803 RUSSELL BLVD, DAVIS, CA 95616(530) 391-8670 Get Directions Write a Review

NPPES record last updated: July 22, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kellie Nielsen Dpt NPPES

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

KELLIE NIELSEN DPT (NPI 1548813280) is an individual pediatrics provider in Davis, California, licensed in California (296763) and active in the NPI registry since July 2019.

NPPES Registry Identity

NPI1548813280
Entity TypeIndividualFemale
Primary Taxonomy2251P0200X
Provider Legal NameKELLIE NIELSENCredential: DPT
Location Address803 RUSSELL BLVDDavis, CA 95616-3426
Mailing Address3436 Sackett LnWinters, CA 95694-9687 · (206) 518-1012
Phone(530) 391-8670
Sole ProprietorNo
Enumeration DateJuly 22, 2019
✔ NPI 1548813280 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
License✔ Licensed in CA · 296763
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 Therapist · NeurologyTaxonomy 2251N0400X · License 296763 (CA)
803 RUSSELL BLVD, Davis, CA 95616
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Other Identifiers 1

Other296763CA · Physical Therapy Board Of California

Other Providers at the Same Location NPPES 2

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

KERRY KROHN
Occupational Therapist
803 RUSSELL BLVD
DAVIS, CA 95616
Yolo County (530) 391-8670
CHRISYL MARY JAISON
Specialist/Technologist (Speech-Language Assistant)
803 RUSSELL BLVD
DAVIS, CA 95616
Yolo County (530) 601-7585

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 Kellie Nielsen's NPI number?

The NPI number for Kellie Nielsen is 1548813280. It was assigned to this individual provider in the NPPES registry on July 22, 2019.

Where is Kellie Nielsen located?

Kellie Nielsen practices at 803 Russell Blvd, Davis, CA 95616. The listed phone number is (530) 391-8670.

What is Kellie Nielsen's specialty?

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

When was this NPI record last updated?

The NPPES record for Kellie Nielsen was last updated on July 22, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.