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

Kelly John

Individual provider Physical Therapist · NPI 1790322436

Kelly John is a Physical Therapist in Private Practice in Hayden, Idaho. Qualified in 2019, 7 years ago. Practices with Orthopedic Surgery and Sports, a 28-clinician group, works from 2 locations and accepts Medicare assignment.

Years since qualifying
7
In the registry since
2019
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

8468 N Wayne Dr
Hayden, ID 83835-6025
Phone: (208) 601-6060
Fax: (208) 635-5098
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Additional practice locations (1)

  • 1812 N Lakewood Dr Ste 100, Coeur D Alene, ID 83814-2635 — (208) 966-4476

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X

Record details

NPI number1790322436
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedDecember 2, 2019
Last updated in NPPESDecember 12, 2025
Certification dateDecember 12, 2025
Mailing address850 W Ironwood Dr Ste 202, Coeur D Alene, ID 83814-4903

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Orthopedic Surgery And Sports — 28 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Hayden