Kelly Andreassi, OT/R

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

Practice address

816 Delsea Dr N Ste 130
Glassboro, NJ 08028-1438

Phone

(856) 371-9521

NPI assigned

Jul 20, 2016

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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.

• Backtometherapy LLC

  • Clinic/Center
  • Glassboro, NJ
  • NPI 1881335099
  Medicare reassignment NPD Authorized official
• At Home by Enhance Therapies LLC

  • Physical Therapist
  • Lakewood, NJ
  • NPI 1124603246
  NPD

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

{
    "created_epoch": "1468972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647907200000",
    "number": "1073966404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "816 DELSEA DR N STE 130",
            "city": "GLASSBORO",
            "state": "NJ",
            "postal_code": "080281438",
            "telephone_number": "856-371-9521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "816 DELSEA DR N STE 130",
            "city": "GLASSBORO",
            "state": "NJ",
            "postal_code": "080281438",
            "telephone_number": "856-371-9521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDREASSI",
        "first_name": "KELLY",
        "credential": "OT/R",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-20",
        "last_updated": "2022-03-22",
        "certification_date": "2022-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "backtometherapy@protonmail.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "business address",
            "address_1": "816 Delsea Dr N Ste 130",
            "city": "Glassboro",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "080281438",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Maria Afordakos, MED, LPC
• Anna Alberici, D.O
• Robbi Albert-Jones, IBCLC
• American Workcare, PC
• Megan Andrade, PT, DPT
• Allison Andrews
• Mayra Lorena Aquino, B.A
• Aspen Physical Therapy Centers, LLP
• Aspen PT Centers LLC
• Assisted Living Concepts Inc

• Student in an Organized Health Care Education/Training Program in Glassboro, NJ
• Providers in Glassboro, NJ by specialty
• Student in an Organized Health Care Education/Training Program in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.