Individual provider Active NPI

Denise Michelle Kelley, PT

  • Physical Therapist
  • Nevada City, CA
National Provider Identifier
1013964956
Registry record updated Oct 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
22949 Issued in CA
Practice address
569 Searls Ave
Nevada City, CA 95959-3063
Phone
(530) 478-1933
NPI assigned
May 27, 2006
Last updated
Oct 4, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 22949 CA Primary

Addresses

Primary practice location

569 Searls Ave
Nevada City, CA 95959-3063

Mailing address

PO Box 10
Cedar Ridge, CA 95924-0010
Phone (530) 277-2160

Other names 1

  • Denise Michelle Hartshorn Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060706000152 CA Practitioner - Physical Therapist in Private Practice 4183636384 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
22949CAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Fit for Life Physical Therapy, Inc Physical Therapist CurrentSince Jan 1, 2008 Accepting new patients
Orthopaedic and Neurological Rehab Inc Physical Therapist CurrentSince Aug 1, 2023 Accepting new patients
Auburn Orthopedic & Sports Physical Physical Therapist CurrentSince Jul 10, 2023 Accepting new patients
Orthopaedic and Neurological Rehabilitation, Speech Pathology, Inc CurrentSince Aug 1, 2023 Accepting new patients
Burger Physical Therapy and Rehabilitation Agency Inc PastSince Jul 1, 2019 Accepting new patients

Locations

11879 Kemper Rd
Ste 4
Auburn, CA 95603
Phone (530) 885-3940

2950 Sierra Sunrise Ter
Chico, CA 95928
Phone (530) 941-1017

316 Olympia Park Cir
Grass Valley, CA 95945

565 Brunswick Rd
Ste 4
Grass Valley, CA 95945
Phone (530) 273-4152

9000 Murray Dr
La Mesa, CA 91942
Phone (585) 451-4018

3900 Dale Rd
Modesto, CA 95356
Phone (209) 492-0128

569 Searls Ave
Nevada City, CA 95959
Phone (530) 478-1933

177 Mary Ave
Nipomo, CA 93444
Phone (805) 600-3366

3499 Grande Vista Dr
Thousand Oaks, CA 91320
Phone (949) 485-2022

3210 Sepulveda Blvd
Torrance, CA 90505
Phone (424) 571-2603

8500 Bluffstone Cv
Ste A201
Austin, TX 78759
Phone (512) 220-5252

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/b69fa4dd-a04c-4304-b660-7554d71b5970/

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1148688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1475539200000",
    "number": "1013964956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10",
            "city": "CEDAR RIDGE",
            "state": "CA",
            "postal_code": "959240010",
            "telephone_number": "530-277-2160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "569 SEARLS AVE",
            "city": "NEVADA CITY",
            "state": "CA",
            "postal_code": "959593063",
            "telephone_number": "530-478-1933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLEY",
        "first_name": "DENISE",
        "middle_name": "MICHELLE",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-27",
        "last_updated": "2016-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "22949",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DENISE",
            "last_name": "HARTSHORN",
            "middle_name": "MICHELLE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Nevada City, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.