Maura Kelly

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SL015722 Issued in PA

Practice address

589 Skippack Pike Ste 301
Blue Bell, PA 19422-2159

Phone

(484) 367-7131

NPI assigned

Aug 16, 2022

Sex

Female

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Milestone Therapy Group LLC

  • Speech-Language Pathologist
  • Wynnewood, PA
  • NPI 1225699788
  NPD (past)

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

{
    "created_epoch": "1660608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725580800000",
    "number": "1144948142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "724 ARGYLE RD",
            "city": "GLENSIDE",
            "state": "PA",
            "postal_code": "190381510",
            "telephone_number": "215-385-1639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "589 SKIPPACK PIKE STE 301",
            "city": "BLUE BELL",
            "state": "PA",
            "postal_code": "194222159",
            "telephone_number": "484-367-7131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLY",
        "first_name": "MAURA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-08-16",
        "last_updated": "2024-09-06",
        "certification_date": "2024-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "PA",
            "license": "SL015722",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alex Myoungwoo Kang, L.AC.
• Ankit Vinod Karsalia, DMD
• Brittney Lee Katsoff, M.D.
• Farryn Kauffman, DPT
• Allison Kelly, DO
• Ken-Crest Services
• Kencrest Services
• Kencrest Services
• Kencrest Services
• Lawrence A Kerson, MD

• Speech-Language Pathologist in Blue Bell, PA
• Providers in Blue Bell, PA by specialty
• Speech-Language Pathologist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2024; 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.