Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kelli Maginot

Individual provider Physical Therapist · NPI 1053870188

Kelli Maginot is a Physical Therapist in Private Practice in Los Alamos, New Mexico. Qualified in 2011, 15 years ago. Works from 2 locations and accepts Medicare assignment. Licensed in California and New Mexico.

Years since qualifying
15
Licensed in
CA, NM
In the registry since
2019
Specialties on file
2

Practice location Address checks out

1350 Central Ave Ste 105
Los Alamos, NM 87544-6217
Phone: (505) 662-3384
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1973 Cumbres Patio St, Los Alamos, NM 87544 — (361) 549-7678

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT5442 (NM)
Physical Therapist Taxonomy 225100000X · Licence 42792 (CA)

Record details

NPI number1053870188
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 18, 2019
Last updated in NPPESMay 31, 2022
Certification dateMay 31, 2022
Mailing address1973 Cumbres Patio St, Los Alamos, NM 87544-2734

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Los Alamos