Active NPI
Matthew D Kellar, PT
- Physical Therapist
- Athens, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 3361
- Practice address
- 2142 W Broad St, BLDG 100, Ste 200
Athens, GA 30606-3509 - Phone
- (706) 548-6881
- Fax
- (706) 546-0821
- NPI assigned
- Feb 1, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 3361 | GA | Primary |
Addresses
Primary practice location
2142 W Broad St, BLDG 100, Ste 200
Athens, GA 30606-3509
Mailing address
PO Box 48089
Athens, GA 30604-8089
Phone (706) 389-3740
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service | Other | Cobius Healthcare Solutions |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Medical College of Georgia School of Medicine, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2142 W Broad St
BLDG 100 Suite 200
Athens, GA 30606-3509
Phone (706) 548-6881
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3361 | GA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Mary'S Medical Group, Inc | Current | Accepting new patients | |
| St. Mary'S Medical Group, Inc. | Current | Accepting new patients | |
| St. Mary'S Medical Group, Inc. | Current | Accepting new patients |
Locations
740 Prince Ave
Ste 2
Athens, GA 30606
Phone (706) 548-5488
2142 W Broad St
Bldg 200
Athens, GA 30606
Phone (706) 548-6881
1230 Baxter St
Athens, GA 30606
Phone (706) 364-3100
2142 W Broad St
Bldg 100
Athens, GA 30606
Phone (706) 548-6881
Interoperability endpoints
- https://api.platform.athenahealth.com/7598/brand/1/csg/1/fhir/r4
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Cardiovascular Disease Physician
- Athens, GA
- NPI 1376711333
-
- Infectious Disease Physician
- Athens, GA
- NPI 1144641747
-
- Anatomic Pathology & Clinical Pathology Physician
- Athens, GA
- NPI 1316733355
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1359676800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1772582400000",
"number": "1013256643",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 48089",
"city": "ATHENS",
"state": "GA",
"postal_code": "306048089",
"telephone_number": "706-389-3740",
"fax_number": "706-389-3951"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2142 W BROAD ST, BLDG 100, STE 200",
"city": "ATHENS",
"state": "GA",
"postal_code": "306063509",
"telephone_number": "706-548-6881",
"fax_number": "706-546-0821"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KELLAR",
"first_name": "MATTHEW",
"middle_name": "D",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-02-01",
"last_updated": "2026-03-04",
"certification_date": "2026-03-04",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "GA",
"license": "3361",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
"affiliation": "Y",
"endpointDescription": "2.16.840.1.113883.3.1068.1",
"affiliationName": "Cobius Healthcare Solutions",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "CMS esMD eMDR",
"address_1": "2720 Dundee Rd # 302",
"city": "Northbrook",
"state": "IL",
"country_code": "US",
"postal_code": "600622609",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Athens, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.