Organization Active NPI

Kelly Morency Physical Therapy, PLLC

  • Physical Therapy Clinic/Center
  • Westborough, MA
National Provider Identifier
1013758895
Registry record updated Jun 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
KELLY MORENCY PHYSICAL THERAPY, PLLC
Practice address
290 Turnpike Rd Ste 150-342
Westborough, MA 01581-2843
Phone
(774) 239-0076
NPI assigned
Jun 4, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2024

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

Authorized official

Name
Kelly Morency, PT
Title
Managing Member
Phone
(508) 709-9491

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

290 Turnpike Rd Ste 150-342
Westborough, MA 01581-2843

Mailing address

290 Turnpike Rd Ste 150-342
Westborough, MA 01581-2843
Phone (774) 239-0076

Other names 1

  • Northboro Pelvic PT Former legal business name

National Provider Directory

National Provider Directory

Locations

290 Turnpike Rd
Ste 150342
Westborough, MA 01581
Phone (774) 239-0076

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1717459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717459200000",
    "number": "1013758895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "290 TURNPIKE RD STE 150-342",
            "city": "WESTBOROUGH",
            "state": "MA",
            "postal_code": "015812843",
            "telephone_number": "774-239-0076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "290 TURNPIKE RD STE 150-342",
            "city": "WESTBOROUGH",
            "state": "MA",
            "postal_code": "015812843",
            "telephone_number": "774-239-0076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KELLY MORENCY PHYSICAL THERAPY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-04",
        "last_updated": "2024-06-04",
        "certification_date": "2024-06-04",
        "status": "A",
        "authorized_official_last_name": "MORENCY",
        "authorized_official_first_name": "KELLY",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "508-709-9491",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Northboro Pelvic PT",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Northboro Pelvic PT",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Westborough, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2024; 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.