Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Ilana Nicole Kellogg Waasdorp, PT, DPT

Individual provider Physical Therapist · NPI 1720425549

Ilana Nicole Kellogg Waasdorp, PT, DPT is a Physical Therapist in Roanoke, Virginia. Practices as a sole proprietor. Licensed in Colorado and Virginia.

Licensed in
CO, VA
In the registry since
2013
Specialties on file
2
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

1421 3rd St SW
Roanoke, VA 24016-5204
Phone: (303) 900-3457
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Physical Therapist (primary) Taxonomy 2251P0200X · Licence 2305212941 (VA)
Physical Therapist Taxonomy 225100000X · Licence PTL.0012174 (CO)

Record details

NPI number1720425549
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT , DPT
Sole proprietorYes
NPI enumeratedJune 3, 2013
Last updated in NPPESJanuary 2, 2020
Certification dateJanuary 2, 2020

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