Kelsea J Homan, PT, DPT
Physical Therapist in Ceres, California
1205310786- Practice location
- 2908 E Whitmore Ave Ste E, Ceres, CA 95307-2800
- Phone
- 209-622-4149
- Fax
- —
- Last updated
- October 8, 2020
Kelsea Jordan Homan is a Physical Therapist based in Ceres, CA. Kelsea Jordan Homan practices in Ceres, CA and has the professional credentials of PT, DPT. The NPI Number for Kelsea Jordan Homan is 1205310786 and holds a License No. PTH9242 (AL). The current practice location address for Kelsea Jordan Homan is 2908 E Whitmore Ave Ste E, Ceres, CA 95307-2800 and can be reached out via phone at 209-622-4149.
Provider Profile Details
- NPI Number
- 1205310786
- Provider Name
- Kelsea Jordan Homan
- Credential
- PT, DPT
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 2908 E Whitmore Ave Ste E, Ceres, CA 95307-2800
- Phone Number
- 209-622-4149
- Primary Taxonomy
- Physical Therapist · 225100000X
- Sole Proprietor
- No
- Provider Enumeration Date
- September 20, 2018
- Last Update Date
- October 8, 2020
- Certification Date
- September 8, 2020
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 2908 E Whitmore Ave Ste E
Ceres, CA 95307-2800 - City
- Ceres
- State
- California
- Zip
- 95307-2800
- Phone Number
- 209-622-4149
Provider Business Mailing Address Details
- Address
- 1518 Coffee RD Ste 1
Modesto, CA 95355-3164 - City
- Modesto
- State
- CA
- Zip
- 95355-3164
- Phone Number
- 209-576-0888
License Information
- License Number (1)
- PTH9242
- License State (1)
- AL
- Taxonomy (1)
- Physical Therapist · 225100000X
- License Number (2)
- 40QA01821000
- License State (2)
- NJ
- Taxonomy (2)
- Physical Therapist · 225100000X
- License Number (3)
- 298541
- License State (3)
- CA
- Taxonomy (3)
- Physical Therapist · 225100000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Physical Therapists near Ceres, CA
View all Physical Therapists in Ceres →Frequently Asked Questions
What is the NPI number of Kelsea J Homan, PT, DPT?
The NPI number of Kelsea J Homan, PT, DPT is 1205310786. It was assigned on September 20, 2018 and is currently active in the NPPES registry.
What is the specialty of Kelsea J Homan, PT, DPT?
Kelsea J Homan, PT, DPT is registered under the primary taxonomy Physical Therapist (code 225100000X), licensed in AL under license number PTH9242.
Where does Kelsea J Homan, PT, DPT practice?
The practice location is 2908 E Whitmore Ave Ste E, Ceres, CA 95307-2800. The office can be reached at 209-622-4149 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1205310786 directly on the NPPES registry website.