Individual provider Active NPI

Amanda Kathryn Kell

  • Physical Therapist
  • Middletown, CT
National Provider Identifier
1013450873
Registry record updated Mar 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
14.012143 Issued in CT
Practice address
134 Main Street Ext Ste 100
Middletown, CT 06457-3865
Phone
(860) 740-3087
NPI assigned
Nov 28, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 40QA01707900 NJ
Physical Therapist 225100000X 14.012143 CT Primary

Addresses

Primary practice location

134 Main Street Ext Ste 100
Middletown, CT 06457-3865

Mailing address

5211 Town PL
Middletown, CT 06457-1759

Other practice location 1

1 Emerson Dr
Windsor, CT 06095-3204
Phone (860) 688-6443

Other practice location 2

2 Changebridge Rd
Montville, NJ 07045-8947
Phone (973) 917-3134

Other practice location 3

780 New Brunswick Rd
Somerset, NJ 08873-5220
Phone (732) 653-3000

Other practice location 4

166 Waterbury Rd
Prospect, CT 06712-1200
Phone (203) 805-4795

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200902002039 CT Practitioner - Physical Therapist in Private Practice 1355624214 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Anb-Ptsma Holdings IncGroup PAC ID 4789572926, 190 clinicians

Practice addresses (Care Compare)

134 Main St Ext
Suite 100
Middletown, CT 06457-3813
Phone (860) 740-3087

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12143CTMDClinical Social Worker
14.012143CTMDPhysical Therapist
40QA01707900NJMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Anb-Ptsma Holdings, Inc. Physical Therapist CurrentSince Jan 3, 2023 Accepting new patients
Advanced Physical Therapy, LLC Physical Therapist CurrentSince Jul 27, 2020 Accepting new patients
Sportscare of America, PC Physical Therapist CurrentSince Jan 30, 2017 Accepting new patients
United Sports Care & Physical Therapy Physical Therapist CurrentSince Jan 30, 2017 Accepting new patients
Community Physical Therapy Physical Therapist Past Accepting new patients

Locations

134 Main Street Ext
Ste 100
Middletown, CT 06457
Phone (860) 740-3087

103 E Main St
Unit C
Plainville, CT 06062
Phone (860) 517-8885

166 Waterbury Rd
Prospect, CT 06712
Phone (203) 264-7999

47 N Main St
West Hartford, CT 06107
Phone (860) 409-4595

465 Wolcott Rd
Wolcott, CT 06716
Phone (203) 441-4261

47 S Washington Ave
Bergenfield, NJ 07621
Phone (201) 384-2525

1161 Burnt Tavern Rd
Brick, NJ 08724
Phone (732) 458-1255

197 Ridgedale Ave
Cedar Knolls, NJ 07927
Phone (973) 292-0700

11 Eagle Rock Ave
Ste 201
East Hanover, NJ 07936
Phone (973) 887-0115

1255 Route 70
Ste 32N
Lakewood, NJ 08701
Phone (732) 901-4747

8 Town Center Dr
Ste 1
Sparta, NJ 07871
Phone (973) 726-3800

63 Lacey Rd
Ste H
Whiting, NJ 08759
Phone (732) 716-0111

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1480291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741910400000",
    "number": "1013450873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5211 TOWN PL",
            "city": "MIDDLETOWN",
            "state": "CT",
            "postal_code": "064571759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "134 MAIN STREET EXT STE 100",
            "city": "MIDDLETOWN",
            "state": "CT",
            "postal_code": "064573865",
            "telephone_number": "860-740-3087"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Emerson Dr",
            "address_purpose": "LOCATION",
            "city": "Windsor",
            "state": "CT",
            "postal_code": "060953204",
            "country_code": "US",
            "telephone_number": "860-688-6443",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2 Changebridge Rd",
            "address_purpose": "LOCATION",
            "city": "Montville",
            "state": "NJ",
            "postal_code": "070458947",
            "country_code": "US",
            "telephone_number": "973-917-3134",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "780 New Brunswick Rd",
            "address_purpose": "LOCATION",
            "city": "Somerset",
            "state": "NJ",
            "postal_code": "088735220",
            "country_code": "US",
            "telephone_number": "732-653-3000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "166 Waterbury Rd",
            "address_purpose": "LOCATION",
            "city": "Prospect",
            "state": "CT",
            "postal_code": "067121200",
            "country_code": "US",
            "telephone_number": "203-805-4795",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KELL",
        "first_name": "AMANDA",
        "middle_name": "KATHRYN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-11-28",
        "last_updated": "2025-03-14",
        "certification_date": "2025-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01707900",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CT",
            "license": "14.012143",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Middletown, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2025; 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.

Verify at the official NPI Registry.