Individual provider Active NPI

Allison Olivia Kelly, PT,DPT

  • Physical Therapist
  • Beavercreek, OH
National Provider Identifier
1033646674
Registry record updated May 14, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
4381 Tonawanda TRL
Beavercreek, OH 45430-1961
Phone
(937) 426-5033
NPI assigned
May 14, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 14, 2017

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 OH Primary

Addresses

Primary practice location

4381 Tonawanda TRL
Beavercreek, OH 45430-1961

Mailing address

1100 Shawnee Rd
Lima, OH 45805-3529

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210413001305 OH Practitioner - Physical Therapist in Private Practice 1456769413 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Total Care Therapy LLCGroup PAC ID 5890122816, 109 clinicians

Practice addresses (Care Compare)

6099 Riverside Dr
Suite 207
Dublin, OH 43017-2004
Phone (740) 953-1184

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Fox Rehabilitation Services Oh, LLC Physical Therapist CurrentSince Apr 1, 2021 Accepting new patients
Total Care Therapy LLC Physical Therapist CurrentSince Sep 9, 2024 Accepting new patients

Locations

7 Carnegie Plz
Cherry Hill, NJ 08003

6099 Riverside Dr
Ste 207
Dublin, OH 43017
Phone (614) 271-2625

6525 N High St
Worthington, OH 43085
Phone (332) 230-2813

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1494720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1494720000000",
    "number": "1033646674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 SHAWNEE RD",
            "city": "LIMA",
            "state": "OH",
            "postal_code": "458053529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4381 TONAWANDA TRL",
            "city": "BEAVERCREEK",
            "state": "OH",
            "postal_code": "454301961",
            "telephone_number": "937-426-5033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLY",
        "first_name": "ALLISON",
        "middle_name": "OLIVIA",
        "name_prefix": "Dr.",
        "credential": "PT,DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-05-14",
        "last_updated": "2017-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beavercreek, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2017; 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.