Active NPI
Patricia Anne Kelly
- Massage Therapist
- Chestertown, MD
National Provider Identifier
1073418984
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- M06390
- Practice address
- 114 S Lynchburg St Ste B
Chestertown, MD 21620-1128 - Phone
- (443) 924-9478
- NPI assigned
- Oct 12, 2026
- Last updated
- Oct 12, 2026
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Massage Therapist | 225700000X | M06390 | MD | Primary |
Addresses
Primary practice location
114 S Lynchburg St Ste B
Chestertown, MD 21620-1128
Mailing address
10612 Colfax Rd
Chestertown, MD 21620-3635
Phone (443) 924-9478
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": "1791763200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1791763200000",
"number": "1073418984",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10612 COLFAX RD",
"city": "CHESTERTOWN",
"state": "MD",
"postal_code": "216203635",
"telephone_number": "443-924-9478"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "114 S LYNCHBURG ST STE B",
"city": "CHESTERTOWN",
"state": "MD",
"postal_code": "216201128",
"telephone_number": "443-924-9478"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KELLY",
"first_name": "PATRICIA",
"middle_name": "ANNE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2026-10-12",
"last_updated": "2026-10-12",
"certification_date": "2026-10-11",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "MD",
"license": "M06390",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chestertown, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.