Kelly L. Nickelson, PHYSICAL THERAPIST
Physical Therapist · Fulton, MO
Kelly L. Nickelson, PHYSICAL THERAPIST is a physical therapist with a practice address in Fulton, Missouri, and NPI 1871780155, issued on Oct 1, 2007. Check the license (Missouri 2002015010, as entered in NPPES) with the Missouri board that licenses this profession; the Medicare figures below come from public CMS files.
- Name
- Kelly L. Nickelson
- Credential
- PHYSICAL THERAPIST
- Primary taxonomy
- Physical Therapist 225100000X
- License number
- 2002015010 MO
Self-reported in NPPES; status is on the state search - Practice location
- 401 Gaylord Dr, Fulton, MO 65251
- Phone
- (573) 642-8541
- Enumerated
- Oct 1, 2007
- Record last updated
- Apr 19, 2023
- Fax
- (573) 642-8500
- Medicare enrollment
- Enrolled (PECOS I20080401000223); accepts Medicare assignment
- Entity
- Type 1 · individual
8 nearest physical therapist records → All 4,540 in Missouri → Look up another NPI →
Also registered at 401 Gaylord Dr
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Kaylin Anshutz, PT, DPTPhysical Therapist1902692601
- Linda Gamlin, PT, ATCSpecialist1770770059
- Kimberly Kritzer, PTPhysical Therapist1245261601
Verify Kelly L. Nickelson in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich Missouri board licenses this profession
Search for license 2002015010Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Bills Medicare through 2 group practices
- Boone Physician Services LLCFulton, MO
- Central Missouri Physical Therapy LLCColumbia, MO
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Kelly L. Nickelson among 4,540 physical therapist records in Missouri
Kelly L. Nickelson, PHYSICAL THERAPIST is one of 4,540 physical therapist records with a practice address in Missouri. 26% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2007, is newer than 13% of them.
- NPI issued2007 · 13% of these records are older, 74% newer
- In a Medicare fileYes · 26% of these records are
- In the CMS Doctors and Clinicians fileYes · 27% of these records are
- Graduated2002 · median 2017 among the 1,244 with a school on file
- Record last updated2023 · 64% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 225100000X and a Missouri practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
12 physical therapist records list a practice address in Fulton
They are 12 of the 265 NPPES records with a practice address in Fulton, and 4,540 physical therapist records in Missouri.
All 4,540 in Missouri → Every provider in Fulton → Physical Therapist nationwide →
The 8 physical therapist records with the nearest ZIP codes
- Kaylin Anshutz, PT, DPTFulton, MO 652511902692601
- Katherine BerreyFulton, MO 652511205945433
- Brenda Bolton, PTFulton, MO 652511710433644
- Anna Dubois, DPTFulton, MO 652511508751272
- Rachael Fletcher, PT, DPT, ATCFulton, MO 652511689120933
- Kimberly Kritzer, PTFulton, MO 652511245261601
- Cynthia Russell, PTFulton, MO 652511942494042
- Kaylee Tagart, PTFulton, MO 652511679146328
Common questions
What is Kelly L. Nickelson, PHYSICAL THERAPIST's NPI number?
Kelly L. Nickelson, PHYSICAL THERAPIST's National Provider Identifier (NPI) is 1871780155, issued on Oct 1, 2007. An NPI identifies a provider in billing; it is not a license.
Where is Kelly L. Nickelson, PHYSICAL THERAPIST located?
The NPPES record lists a practice address at 401 Gaylord Dr, Fulton, MO, 65251. Phone: (573) 642-8541. Providers update this record themselves, so call before visiting.
How can I verify Kelly L. Nickelson, PHYSICAL THERAPIST's license?
NPPES lists Missouri license number 2002015010, as entered by the provider. Search the Missouri board that licenses this profession; the NPPES record confirms identity only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.