Jennifer L Kelly, MSPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT013908L Issued in PA

Practice address

3455 W Penn St
Philadelphia, PA 19129-1438

Phone

(610) 368-8390

NPI assigned

Nov 28, 2006

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• PT-One Physical Therapy Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458950400000",
    "number": "1013083203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3455 W PENN ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191291438",
            "telephone_number": "610-368-8390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3455 W PENN ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191291438",
            "telephone_number": "610-368-8390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLY",
        "first_name": "JENNIFER",
        "middle_name": "L",
        "credential": "MSPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-28",
        "last_updated": "2016-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT013908L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICAL THERAPIST LIC",
            "identifier": "PT013908L",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PT-ONE",
            "last_name": "PHYSICAL THERAPY",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• James Kelly, PA-C
• Janice A Kelly, M.D.
• Jashawn Kelly
• Jeannine Mary Kelly, C.R.N.A.
• Jennifer Kelly, RPH
• Jessica Kelly, MD
• Jillian Alexandria Kelly, CRNP
• Joanne Kelly
• John D Kelly IV, MD
• John J Kelly, DO

• Physical Therapist in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Physical Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.