Kelly Elisabeth Swenson Hall, PT
Individual provider Active NPI Physical Therapist · Bradenton, FL
NPI 1013296565 · NPPES record last updated Aug 15, 2011
Key facts
- NPI
- 1013296565
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- PT 25608 (FL)
- Practice address
- 3915 8TH Ave W
Bradenton, FL 34205-1701 - Phone
- (941) 747-7741
- Fax
- (941) 747-1431
- NPI assigned
- Aug 15, 2011
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medical Arts Rehabilitation Inc | Physical Therapist | Past | Accepting new patients |
| Request Physical Therapy Inc | Physical Therapist | Past | Accepting new patients |
| Well Body Clinic Inc | Physical Therapist | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT 25608 | FL | Yes |
Addresses
Primary practice location
3915 8TH Ave W
Bradenton, FL 34205-1701
Mailing address
3915 8TH Ave W
Bradenton, FL 34205-1701
Phone (941) 747-7741
Other providers in Bradenton, FL
- Swastik RX LLC
- Deborah K Swearingen
- Steven R Sweat
- Connor Sweeney
- Stephen Mather Sweney
- Scott Dylan Swetland
- Seemin Gillani Syed
- Shereen Syed
- Synergy Medical LLC
- Richard C Syring
All providers in Bradenton, FL · Physical Therapist in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 15, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.