Christopher Kelley

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

2174367 Issued in TX

Practice address

15600 San Pedro Ave Ste 305
San Antonio, TX 78232-3739

Phone

(210) 582-5840

NPI assigned

Jun 7, 2023

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1686096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686096000000",
    "number": "1104510544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15600 SAN PEDRO AVE STE 305",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782323739",
            "telephone_number": "210-582-5840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15600 SAN PEDRO AVE STE 305",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782323739",
            "telephone_number": "210-582-5840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLEY",
        "first_name": "CHRISTOPHER",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-06-07",
        "last_updated": "2023-06-07",
        "certification_date": "2023-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "TX",
            "license": "2174367",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Britany Lyn Kelley, APN
• Caroline Kelley
• Chelsea Summer Kelley, NP
• Cheryl Kelley, LPC
• Christa Kelley, BCCS
• Desire Victoria Kelley
• Jennifer Robin Kelley, L.M.S.W., M.B.A.
• Margaret A Kelley, M.D.
• Scott Brandon Kelley, DC
• Brenna Michelle Kellner

• Physical Therapy Assistant in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Physical Therapy Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2023; 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.