Rowdy Kelly, P.T., COMT

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

PT1978 Issued in AR

Practice address

200 N College St
Mountain Home, AR 72653-3654

Phone

(870) 424-4550

Fax

(870) 424-4558

NPI assigned

Oct 13, 2005

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

Enrolled in AR

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

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.

• Physical Therapy Connection, Inc.

  • Specialist
  • Mountain Home, AR
  • NPI 1700918471

  Orthopedic

  Medicare reassignment NPD

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

{
    "created_epoch": "1129161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1299456000000",
    "number": "1124017058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 COUNTY ROAD 643",
            "city": "MOUNTAIN HOME",
            "state": "AR",
            "postal_code": "726537555",
            "telephone_number": "870-425-0725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 N COLLEGE ST",
            "city": "MOUNTAIN HOME",
            "state": "AR",
            "postal_code": "726533654",
            "telephone_number": "870-424-4550",
            "fax_number": "870-424-4558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLY",
        "first_name": "ROWDY",
        "name_prefix": "Mr.",
        "credential": "P.T., COMT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-13",
        "last_updated": "2011-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "AR",
            "license": "PT1978",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patrice Marie Kearsey, ANP
• Robin Keating, MASSAGE THERAPIST
• William Keller, FNP
• Christopher Kelley, L.M.T.
• Quincie Kelly, DPT
• Caroline L Kemp
• Bronda Colleen Kennedy
• Dominick Kennedy, PTA
• Stacy Ann Kennedy, A.P.N.
• Kent P Nachtigal, MD, PA

• Orthopedic Physical Therapist in Mountain Home, AR
• Providers in Mountain Home, AR by specialty
• Orthopedic Physical Therapist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.