NICHOLAS KELLY (PT) – Physical Therapist, NPI 1326591264

NICHOLAS KELLY (PT) is a healthcare provider. based in Portland, Oregon. specializing in Physical Therapist. They hold the professional credentials PT. They hold a License No. PT60672436 (WA). The NPI Number for NICHOLAS KELLY (PT) is 1326591264

Main info

Male
10 Years Of Experience
Accepts Medicare Assignment
Name
NICHOLAS KELLY (PT)
NPI
1326591264
Phone
(503) 443-6156
Address
16083 SW UPPER BOONES FERRY RD STE 300
Enumeration Date
27 July 2016
Last Update Date
11 July 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5094556002
Graduation Year
2016 (10 years ago)
PAC ID
5294065181
Group Practice PAC ID
8325937642
Professional Enrollment ID
I20190918003584
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness75
Years active:9State licenses:1Digital endpointsOther names

Provider Addresses for NICHOLAS KELLY (PT)

  • 16083 SW UPPER BOONES FERRY RD STE 300

    PORTLAND, OR 972247736

    Phone: (503) 443-6156

    Fax: (503) 639-9699

    Type: Mailing

  • 200 Nat Washington Way

    Ephrata, WA 988231982

    Phone: (509) 754-4631

    Type: Location

  • East Spokane Falls Boulevard, Spokane, Spokane County, Washington, 99202, United States

    SPOKANE, WA 99202

    Phone: (509) 624-4035

    Fax: (509) 624-3055

    Type: Location

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.

No Medicare enrollment or revalidation data available for this provider in our database.

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 97224)

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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: 8325937642View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeWA
Physical Therapist In Private PracticeWA
Occupational Therapist In Private PracticeAZ
Physical Therapist In Private PracticeWA
Physical Therapist In Private PracticeID
Physical Therapist In Private PracticeWA
Physical Therapist In Private PracticeCA
Physical Therapist In Private PracticeOR
Physical Therapist In Private PracticeWA
-WA

Reviews

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Frequently asked questions

Does NICHOLAS KELLY (PT) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — NICHOLAS KELLY (PT) uses 1326591264.
Is NICHOLAS KELLY (PT) still practicing?
NICHOLAS KELLY (PT) is currently listed as active in the public NPI registry.
What taxonomy line describes NICHOLAS KELLY (PT)?
For research purposes, treat NICHOLAS KELLY (PT) as Physical Therapist in this dataset. Clinical services aligned with this taxonomy classification.
Where is NICHOLAS KELLY (PT) based?
NICHOLAS KELLY (PT) is tied to Portland, Oregon in the data we show; additional addresses may exist on the full record.
Is the information about NICHOLAS KELLY (PT) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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