MRS. JULIE CONDON KELLEN (PT) – Physical Therapist, NPI 1366400954

MRS. JULIE CONDON KELLEN (PT) is a healthcare provider. based in Gulf breeze, Florida. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PT. They hold a License No. PT17638 (FL). The NPI Number for MRS. JULIE CONDON KELLEN (PT) is 1366400954

Main info

Female
28 Years Of Experience
Accepts Medicare Assignment
Name
MRS. JULIE CONDON KELLEN (PT)
NPI
1366400954
Phone
(850) 932-8774
Address
1300 SHORELINE DR
Enumeration Date
3 May 2006
Last Update Date
21 July 2010

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8509163700
Graduation Year
1998 (28 years ago)
PAC ID
1850584202
Group Practice PAC ID
2769381391
Professional Enrollment ID
I20260209000655
Address ID
FL325614468GU85XXXDRXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

4,633 PHYSICAL THERAPIST IN PRIVATE PRACTICE in FL

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Provider Addresses for MRS. JULIE CONDON KELLEN (PT)

  • 1300, Shoreline Drive, Gulf Breeze, Santa Rosa County, Florida, 32561, United States

    SUITE 104

    GULF BREEZE, FL 325614765

    Phone: (850) 932-8774

    Fax: (850) 932-8705

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2026-02-09

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20230426001383IPhysical Therapist In Private PracticeALTBD
I20260209000655IPhysical Therapist In Private PracticeFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
97530Therapy procedure using functional activities1,71169$0
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes1,22566$0
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes1,15570$0
G0283Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care20432$0
97140Therapy procedure using manual technique, each 15 minutes5824$0
View full utilization report →

Insurance plans in this area (ZIP 32561)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2769381391View full group profile
NameSpecialtyState
O T O L A R Y N G O L O G YPA
Otolaryngology, General SurgeryFL
O T O L A R Y N G O L O G YKY
General Surgery, Critical Care (Intensivists)FL
Orthopedic SurgeryFL
Otolaryngology, Sleep MedicineFL
General SurgeryFL
General SurgeryFL
O P H T H A L M O L O G YFL
Pain ManagementFL

Reviews

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Frequently asked questions

What identifier follows MRS. JULIE CONDON KELLEN (PT) across health systems?
The NPI 1366400954 uniquely identifies MRS. JULIE CONDON KELLEN (PT) in U.S. healthcare data.
Does the public listing show MRS. JULIE CONDON KELLEN (PT) as active?
MRS. JULIE CONDON KELLEN (PT)'s NPI record reflects an active status in NPPES.
What services align with MRS. JULIE CONDON KELLEN (PT)'s listing?
MRS. JULIE CONDON KELLEN (PT)'s public classification highlights Physical Therapist. Clinical services aligned with this taxonomy classification.
Which community is linked to MRS. JULIE CONDON KELLEN (PT)?
MRS. JULIE CONDON KELLEN (PT) shows a connection to Gulf Breeze, Florida in registry-derived data.
Why is information missing for MRS. JULIE CONDON KELLEN (PT)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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