NPIMap

Organization Active NPI

Kelley Therapy Center

Doing business as Kelley Therapy

  • Physical Therapist
  • Natchez, MS
National Provider Identifier
1114589546
Registry record updated Jul 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
KELLEY THERAPY CENTER
Doing business as
Kelley Therapy
Practice address
46 Old Courthouse Rd
Natchez, MS 39120-8436
Phone
(601) 520-1826
NPI assigned
Jul 6, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Kelsey Marie Kelley, DPT
Title
Owner
Phone
(601) 520-1826

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

46 Old Courthouse Rd
Natchez, MS 39120-8436

Mailing address

46 Old Courthouse Rd
Natchez, MS 39120-8436
Phone (601) 520-1826

Other names 1

  • Kelley Therapy Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL WebPT Health Information Exchange (HIE)

National Provider Directory

National Provider Directory

Locations

500 Main St
Ste R
Natchez, MS 39120
Phone (601) 520-1826

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1562371200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1596067200000",
    "number": "1114589546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "46 OLD COURTHOUSE RD",
            "city": "NATCHEZ",
            "state": "MS",
            "postal_code": "391208436",
            "telephone_number": "601-520-1826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "46 OLD COURTHOUSE RD",
            "city": "NATCHEZ",
            "state": "MS",
            "postal_code": "391208436",
            "telephone_number": "601-520-1826"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KELLEY THERAPY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-06",
        "last_updated": "2020-07-30",
        "certification_date": "2020-07-30",
        "status": "A",
        "authorized_official_last_name": "KELLEY",
        "authorized_official_first_name": "KELSEY",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "601-520-1826",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "WebPT",
            "affiliation": "N",
            "endpointDescription": "EMR",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "EMR",
            "address_1": "46 Old Courthouse Rd",
            "city": "Natchez",
            "state": "MS",
            "country_code": "US",
            "postal_code": "391208436",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Kelley Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Natchez, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2020; 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.