Sean Kelly

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

3554 Issued in NV

Practice address

8751 W Charleston Blvd Ste 270
Las Vegas, NV 89117-5497

Phone

(702) 982-2232

Fax

(702) 982-2237

NPI assigned

Nov 2, 2018

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

Enrolled in NV

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Chynoweth Hill and Leavitt LLCGroup PAC ID 7012980550, 41 clinicians

Practice addresses (Care Compare)

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 and National Provider Directory roles.

• Chynoweth Hill and Leavitt LLC

  dba Kelly Hawkins Physical Therapy Works

  • Multi-Specialty Clinic/Center
  • Las Vegas, NV
  • NPI 1164415279

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• Chynoweth Hill and Leavitt LLC

  • Multi-Specialty Clinic/Center
  • Las Vegas, NV
  • NPI 1780303727
  NPD
• Chynoweth Hill and Leavitt LLC

  dba Kelly Hawkins Physical Therapy Works

  • Physical Therapist
  • Pahrump, NV
  • NPI 1700878444
  NPD (past)

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

{
    "created_epoch": "1541116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541116800000",
    "number": "1144798620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8751 W CHARLESTON BLVD STE 270",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891175497",
            "telephone_number": "702-982-2232",
            "fax_number": "702-982-2237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8751 W CHARLESTON BLVD STE 270",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891175497",
            "telephone_number": "702-982-2232",
            "fax_number": "702-982-2237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLY",
        "first_name": "SEAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-11-02",
        "last_updated": "2018-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NV",
            "license": "3554",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole Kelly
• Paige Kelly, BA
• Pardis A Kelly, DPM
• Rae Francis Kelly, B.S.,D.C.
• Scott Kelly, LPN
• Tammika L Kelly
• Thomas Francis Kelly, M.D.
• Tracy Lee Kelly
• Unica Kelly
• Victoria Kelly

• Physical Therapist in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Physical Therapist in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2018; 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.