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

Kristin Nicole Kellim, MPT

Individual provider Physical Therapist · NPI 1306010913

Kristin Nicole Kellim, MPT is a Physical Therapist in Glendale, California. Licensed in California, Illinois and Missouri. Registered with an NPI since 2008.

Licensed in
CA, IL, MO
In the registry since
2008
Specialties on file
3
What do these letters mean?
MPT — Master of Physical Therapy
The master's-level physical therapy degree awarded before the DPT became standard.

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Practice location Address checks out

500 E Colorado St Ste 120
Glendale, CA 91205-1651
Phone: (213) 212-4308
Fax: (213) 261-0973
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 40993 (CA)
Physical Therapist Taxonomy 225100000X · Licence 070.017045 (IL)
Specialist Taxonomy 174400000X · Licence 2008010372 (MO)

Record details

NPI number1306010913
Entity typeIndividual (Type 1)
GenderFemale
Credentials MPT
Sole proprietorNo
NPI enumeratedApril 15, 2008
Last updated in NPPESMay 14, 2026
Certification dateMay 14, 2026

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