Mark J Kelly, MT, AP, BA

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

98554 Issued in CA

Practice address

3490 Linden Ave Ste 3
Long Beach, CA 90807-4559

Phone

(323) 229-2930

NPI assigned

Jul 28, 2025

Sex

Male

Sole proprietor

No

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

Credentials

Bachelor of Arts, Medical Technician

State licenses

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

{
    "created_epoch": "1753660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753660800000",
    "number": "1124901020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "255 NEWPORT AVE",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908035922",
            "telephone_number": "562-619-0327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3490 LINDEN AVE STE 3",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908074559",
            "telephone_number": "323-229-2930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLY",
        "first_name": "MARK",
        "middle_name": "J",
        "credential": "MT, AP, BA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-07-28",
        "last_updated": "2025-07-28",
        "certification_date": "2025-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "CA",
            "license": "98554",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daizohn Kelly
• Emily Michelle Kelly, MA, CCC-SLP
• Kathleen Mary Kelly, LCSW
• Loretta Kelly
• Madeleine Kelly, LMFT
• Melissa Faith Kelly, LCSW
• Patricia A Kelly, NMD, FNP-BC, GNPC-BC
• Shiyanne Kelly
• Caroline Kelmis, MD
• Michelle Kelsey-Plummer, MSW, LCSW

• Massage Therapist in Long Beach, CA
• Providers in Long Beach, CA by specialty
• Massage Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2025; 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.