Individual provider Active NPI

Kelsey Kelleher, DPT

  • Physical Therapist
  • Coraopolis, PA
National Provider Identifier
1043768823
Registry record updated Sep 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
100 Corporate Center Dr Ste 115
Coraopolis, PA 15108
Phone
(412) 299-0704
Fax
(412) 299-2823
NPI assigned
Sep 21, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2019

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 Primary

Addresses

Primary practice location

100 Corporate Center Dr Ste 115
Coraopolis, PA 15108

Mailing address

100 Corporate Center Dr Ste 115
Coraopolis, PA 15108-4332
Phone (412) 299-0704

Other practice location 1

316 Donohoe Rd
Greensburg, PA 15601-6988
Phone (724) 837-8159

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)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1474416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569456000000",
    "number": "1043768823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 CORPORATE CENTER DR STE 115",
            "city": "CORAOPOLIS",
            "state": "PA",
            "postal_code": "151084332",
            "telephone_number": "412-299-0704",
            "fax_number": "412-299-2823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 CORPORATE CENTER DR STE 115",
            "city": "CORAOPOLIS",
            "state": "PA",
            "postal_code": "15108",
            "telephone_number": "412-299-0704",
            "fax_number": "412-299-2823"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "316 Donohoe Rd",
            "address_purpose": "LOCATION",
            "city": "Greensburg",
            "state": "PA",
            "postal_code": "156016988",
            "country_code": "US",
            "telephone_number": "724-837-8159",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KELLEHER",
        "first_name": "KELSEY",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-21",
        "last_updated": "2019-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coraopolis, PA

Sources for this page

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

Verify at the official NPI Registry.