Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kimberlee Janette Despain Ellison, PT, DPT, C/NDT

Individual provider Physical Therapist · NPI 1326441940

Kimberlee Janette Despain Ellison, PT, DPT, C/NDT is a Physical Therapist in Phoenix, Arizona. Practices as a sole proprietor and works from 2 locations. Licensed in Arizona and Washington.

Licensed in
AZ, WA
In the registry since
2014
Specialties on file
3
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

2302 N 15th Ave
Phoenix, AZ 85007-1201
Phone: (623) 242-6908
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 10811 Se Kent Kangley Rd, Kent, WA 98030-7108 — (253) 854-5660

Specialties & licences

Pediatric Physical Therapist (primary) Taxonomy 2251P0200X · Licence LPT-30638 (AZ)
Physical Therapist Taxonomy 225100000X · Licence PT60439302 (WA)
Pediatric Physical Therapist Taxonomy 2251P0200X · Licence PT60439302 (WA)

Record details

NPI number1326441940
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT , DPT , C/NDT
Sole proprietorYes
NPI enumeratedSeptember 28, 2014
Last updated in NPPESApril 29, 2019

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