Dennis Michael Kelly Jr., P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT009548 Issued in OH

Practice address

5 Severance Cir Ste 115
Cleveland Heights, OH 44118-1513

Phone

(216) 381-0300

Fax

(216) 381-0325

NPI assigned

Apr 27, 2006

Last updated

Apr 21, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Rci (WRS), LLC.

  dba RUSH Physical Therapy

  • Physical Therapy Clinic/Center
  • Mount Prospect, IL
  • NPI 1417561655

  Physical Therapist

  Medicare reassignment NPD
• Rci (WRS), LLC

  • Physical Therapy Clinic/Center
  • Mokena, IL
  • NPI 1568160950
  NPD
• Rci (WRS), LLC.

  dba RUSH Physical Therapy

  • Rehabilitation Clinic/Center
  • Chicago, IL
  • NPI 1033723101
  NPD
• TJ Corporation I LLC

  dba NovaCare Rehabilitation

  • Physical Therapy Clinic/Center
  • Chicago, IL
  • NPI 1063417046
  NPD (past)

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

{
    "created_epoch": "1146096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650499200000",
    "number": "1114984762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 SEVERANCE CIR STE 115",
            "city": "CLEVELAND HEIGHTS",
            "state": "OH",
            "postal_code": "441181513",
            "telephone_number": "216-381-0300",
            "fax_number": "216-381-0325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 SEVERANCE CIR STE 115",
            "city": "CLEVELAND HEIGHTS",
            "state": "OH",
            "postal_code": "441181513",
            "telephone_number": "216-381-0300",
            "fax_number": "216-381-0325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLY",
        "first_name": "DENNIS",
        "middle_name": "MICHAEL",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-27",
        "last_updated": "2022-04-21",
        "certification_date": "2022-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070014286",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "PT009548",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Omar Kasalo
• Kat Boldt Counseling LLC
• Mitch Katz, PT
• Steven Mark Katzel, DDS
• Beverly Louise Keeler, RD
• Chardeja Kidd
• Lori L King, LPC
• Sakinah King, CNP
• Sydney A King, OTR/L
• Julia Kious, LMT

• Physical Therapist in Cleveland Heights, OH
• Providers in Cleveland Heights, OH by specialty
• Physical Therapist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 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.