Kristin Nicole Kellim, M.P.T.
NPI 1306010913ActiveIndividual· Physical Therapist· Glendale, CA
Physical Therapist (M.P.T.) in Glendale, California, licensed in CA, IL and MO, with an NPI issued in April 2008.
Overview
| NPI | 1306010913 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.P.T. |
| Sole proprietor | No |
| NPI issued | Apr 15, 2008 |
| Last updated in NPPES | May 14, 2026 |
| Certified by provider | May 14, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | 40993 | CA |
| Physical Therapist | 225100000X | 070.017045 | IL |
| Specialist | 174400000X | 2008010372 | MO |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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