Active NPI
Denise Michelle Kelley, PT
- Physical Therapist
- Nevada City, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 22949
- Practice address
- 569 Searls Ave
Nevada City, CA 95959-3063 - Phone
- (530) 478-1933
- NPI assigned
- May 27, 2006
- Last updated
- Oct 4, 2016
- Sex
- Female
- 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 | 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22949 | CA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fit for Life Physical Therapy, Inc | Physical Therapist | Current | Accepting new patients |
| Orthopaedic and Neurological Rehab Inc | Physical Therapist | Current | Accepting new patients |
| Auburn Orthopedic & Sports Physical | Physical Therapist | Current | Accepting new patients |
| Orthopaedic and Neurological Rehabilitation, Speech Pathology, Inc | Current | Accepting new patients | |
| Burger Physical Therapy and Rehabilitation Agency Inc | Past | 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
- 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.
-
- Physical Therapist
- Auburn, CA
- NPI 1316291503
-
- Rehabilitation Clinic/Center
- Billings, MT
- NPI 1225496540
CA, Physical Therapist
-
- Physical Therapist
- Nevada City, CA
- NPI 1033396817
-
- Rehabilitation Clinic/Center
- Tustin, CA
- NPI 1548940885
-
- Comprehensive Outpatient Rehabilitation Facility (CORF)
- Folsom, CA
- NPI 1457333908
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.