Individual provider Active NPI

Ashlyn Rochelle Kelly, DPT, PT

  • Physical Therapist
  • New Boston, MI
National Provider Identifier
1144039595
Registry record updated Mar 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5501303648 Issued in MI
Practice address
36955 Huron River Dr
New Boston, MI 48164-9809
Phone
(734) 345-1009
Fax
(734) 530-3574
NPI assigned
Dec 31, 2024
Last updated
Mar 11, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 5501303648 MI Primary

Addresses

Primary practice location

36955 Huron River Dr
New Boston, MI 48164-9809

Mailing address

36955 Huron River Dr
New Boston, MI 48164-9809
Phone (734) 345-1009

Other practice location 1

1207 Eureka Rd
Wyandotte, MI 48192-6111
Phone (734) 345-1009

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
5501303648MIMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1735603200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773187200000",
    "number": "1144039595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36955 HURON RIVER DR",
            "city": "NEW BOSTON",
            "state": "MI",
            "postal_code": "481649809",
            "telephone_number": "734-345-1009",
            "fax_number": "734-530-3574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36955 HURON RIVER DR",
            "city": "NEW BOSTON",
            "state": "MI",
            "postal_code": "481649809",
            "telephone_number": "734-345-1009",
            "fax_number": "734-530-3574"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1207 Eureka Rd",
            "address_purpose": "LOCATION",
            "city": "Wyandotte",
            "state": "MI",
            "postal_code": "481926111",
            "country_code": "US",
            "telephone_number": "734-345-1009",
            "fax_number": "734-530-3574",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KELLY",
        "first_name": "ASHLYN",
        "middle_name": "ROCHELLE",
        "credential": "DPT, PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-12-31",
        "last_updated": "2026-03-11",
        "certification_date": "2026-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501303648",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Boston, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2026; 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.