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

Kelly Ann McCracken Musselman, PT, DPT, LAT, ATC

Individual provider Physical Therapist · NPI 1104489996

Kelly Ann McCracken Musselman, PT, DPT, LAT, ATC is a Physical Therapist in Private Practice in Woodinville, Washington. Qualified in 2022, 4 years ago. Practices with 520 Physical Therapy, LLC, a 7-clinician group and accepts Medicare assignment.

Years since qualifying
4
In the registry since
2019
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.
LAT — Licensed Athletic Trainer
A state-licensed athletic trainer.
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.

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Practice location Address checks out

17500 133rd Ave NE Ste A
Woodinville, WA 98072-3609
Phone: (425) 286-6615
Fax: (425) 286-6649
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X
Athletic Trainer Taxonomy 2255A2300X

Record details

NPI number1104489996
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT , DPT , LAT , ATC
Sole proprietorNo
NPI enumeratedApril 17, 2019
Last updated in NPPESJuly 29, 2026
Certification dateJuly 29, 2026

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice 520 Physical Therapy, Llc — 7 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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