Laura Marie Kelley, DPT, PT, ATC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

38857 Issued in CA

Practice address

3760 Convoy St.
Suit 204
San Diego, CA 92111

Phone

(858) 514-0375

NPI assigned

Aug 7, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Bewell Home Physical Therapy P CGroup PAC ID 9335460351, 10 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Bewell Home Physical Therapy P C

  • Physical Therapy Clinic/Center
  • San Marcos, CA
  • NPI 1831582592
  Medicare reassignment Care Compare group NPD
• Fight Gravity Physical Therapy PC

  • Physical Therapist
  • San Diego, CA
  • NPI 1033078118
  Medicare reassignment NPD Authorized official
• Elnel, Inc. a California Corporation Total Physical Therapy

  • Physical Therapy Clinic/Center
  • Chula Vista, CA
  • NPI 1386681732

  Physical Therapist

  Medicare reassignment NPD
• JC Chiropractic, P.C.

  • Chiropractor
  • Chula Vista, CA
  • NPI 1083110274
  NPD (past)

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

{
    "created_epoch": "1344297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1344297600000",
    "number": "1033466255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3760 CONVOY ST.",
            "address_2": "SUIT 204",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "92111",
            "telephone_number": "858-514-0375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3760 CONVOY ST.",
            "address_2": "SUIT 204",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "92111",
            "telephone_number": "858-514-0375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLEY",
        "first_name": "LAURA",
        "middle_name": "MARIE",
        "credential": "DPT, PT, ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-07",
        "last_updated": "2012-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "38857",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jade Midori Kelley, RD
• Joshua Kelley, PT
• Katherine Frances Kelley, AMFT
• Kimberly Kelley, LCSW
• Kimberly H Kelley, PNP
• Lauren Kelley, D.O
• Leon R Kelley, MD
• Lynne A Kelley, LCSW
• Maria Teresa Kelley, LCSW
• Mary Virginia Kelley, PT

• Physical Therapist in San Diego, CA
• Providers in San Diego, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2012; 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.