Patrick J Kelly Jr., DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC007119L Issued in PA

Practice address

125 E Otterman St
Greensburg, PA 15601-2509

Phone

(724) 838-7700

Fax

(724) 838-7200

NPI assigned

Jan 4, 2006

Last updated

May 7, 2013By the provider in NPPES

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - West Sunnyvale, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Detrick & Kelly Chiropractic Clinic Inc

  dba East Otterman Chiropractic

  • Chiropractor
  • Greensburg, PA
  • NPI 1871532739
  Medicare reassignment NPD Authorized official
• Family Chiropractic Healthcare LLC

  • Chiropractor
  • Greensburg, PA
  • NPI 1700803673
  NPD

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

{
    "created_epoch": "1136332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1367884800000",
    "number": "1194703850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 E OTTERMAN ST",
            "city": "GREENSBURG",
            "state": "PA",
            "postal_code": "156012509",
            "telephone_number": "724-838-7700",
            "fax_number": "724-838-7200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 E OTTERMAN ST",
            "city": "GREENSBURG",
            "state": "PA",
            "postal_code": "156012509",
            "telephone_number": "724-838-7700",
            "fax_number": "724-838-7200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLY",
        "first_name": "PATRICK",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-04",
        "last_updated": "2013-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC007119L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01681801",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Julia Kelley, CRNP
• Sarah Kelley, D.O.
• Kelly Lambie Counseling Services LLC
• Audra Kelly, RN
• Christine Rachael Kelly, LCSW
• Cindy Kemerer
• David Joseph Kemerer, MA
• Kim Kemerer, DO
• Kathryne Hannah Kendrick, PA-C
• George W Kennedy, M.D.

• Chiropractor in Greensburg, PA
• Providers in Greensburg, PA by specialty
• Chiropractor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2013; 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.