Active NPI
Kelly Yates, PT
- Physical Therapist
- Frederick, MD
National Provider Identifier
1023484458
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Practice address
- 1341 Hughes Ford Rd Ste 104
Frederick, MD 21701 - Phone
- (301) 798-4838
- NPI assigned
- Aug 20, 2015
- 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 | Primary |
Addresses
Primary practice location
1341 Hughes Ford Rd Ste 104
Frederick, MD 21701
Mailing address
1341 Hughes Ford Rd Ste 104
Frederick, MD 21701-3134
Phone (301) 798-4838
Other practice location 1
3280 Urbana Pike
Ste 202
Ijamsville, MD 21754-9406
Phone (301) 874-2226
Other practice location 2
44927 George Washington Blvd Ste 210
Ashburn, VA 20147
Phone (571) 291-9936
Other practice location 3
44927 George Washington Blvd Ste 210
Ashburn, VA 20147
Phone (571) 291-9936
Other names 1
- Kelly Smith
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pelvrx | Current | Accepting new patients |
Organizations & group practices 1
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.
-
- Physical Therapy Clinic/Center
- Frederick, MD
- NPI 1831919539
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1440028800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1564099200000",
"number": "1023484458",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1341 HUGHES FORD RD STE 104",
"city": "FREDERICK",
"state": "MD",
"postal_code": "217013134",
"telephone_number": "301-798-4838"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1341 HUGHES FORD RD STE 104",
"city": "FREDERICK",
"state": "MD",
"postal_code": "21701",
"telephone_number": "301-798-4838"
}
],
"practiceLocations": [
{
"address_1": "3280 Urbana Pike",
"address_2": "Ste 202",
"address_purpose": "LOCATION",
"city": "Ijamsville",
"state": "MD",
"postal_code": "217549406",
"country_code": "US",
"telephone_number": "301-874-2226",
"fax_number": "301-874-5955",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "44927 George Washington Blvd Ste 210",
"address_purpose": "LOCATION",
"city": "Ashburn",
"state": "VA",
"postal_code": "20147",
"country_code": "US",
"telephone_number": "571-291-9936",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "44927 George Washington Blvd Ste 210",
"address_purpose": "LOCATION",
"city": "Ashburn",
"state": "VA",
"postal_code": "20147",
"country_code": "US",
"telephone_number": "571-291-9936",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "YATES",
"first_name": "KELLY",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-08-20",
"last_updated": "2019-07-26",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KELLY",
"last_name": "SMITH",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Frederick, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.