Kelly L Gregerson, P.T.
Physical Therapist, Pediatrics in Visalia, CA. Individual provider (NPI-1).
NPI number1750656229
StatusActive
Last updated in NPPESMar 17, 2012
Details
- NPI
- 1750656229
- Entity type
- Individual (NPI-1)
- Name
- Kelly L Gregerson
- Credential
- P.T.
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Mar 17, 2012
- Last updated
- Mar 17, 2012
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2251P0200X | Physical Therapist, Pediatrics | PT13949 | CA | Yes |
Other names
- Kelly L Lipoufski (Former Name)
Practice location
5131 W Monte Vista AveVisalia, CA 93277-8880
Phone 559-679-1889
Mailing address
5131 W Monte Vista AveVisalia, CA 93277-8880
Phone 559-679-1889
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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