Individual provider Active NPI

Erin Lynn Kelley, DPT, MSPT, OCS, ATC

  • Physical Therapist
  • Cincinnati, OH
National Provider Identifier
1235193442
Registry record updated Nov 20, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
11544 Issued in OH
Practice address
222 Piedmont Ave Ste 2200
Cincinnati, OH 45219-4238
Phone
(513) 621-7777
Fax
(513) 221-5761
NPI assigned
Apr 14, 2006
Last updated
Nov 20, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 004487 KY
Physical Therapist 225100000X 11544 OH Primary

Addresses

Primary practice location

222 Piedmont Ave Ste 2200
Cincinnati, OH 45219-4238

Mailing address

2959 Alpine Ter
Cincinnati, OH 45208-3407
Phone (513) 533-9118

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150226001427 KY Practitioner - Physical Therapist in Private Practice 8628394285 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11544OHMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Kentucky Rehabilitation Services Inc CurrentSince Feb 2, 2015 Accepting new patients
Kentucky Rehabilitation Services Inc Physical Therapist CurrentSince Feb 2, 2015 Accepting new patients

Locations

68 Cavalier Blvd
Ste 1700
Florence, KY 41042
Phone (859) 283-0707

2600 Alexandria Pike
Ste 45
Highland Heights, KY 41076
Phone (859) 572-0710

4714 Gettysburg Rd
Mechanicsburg, PA 17055
Phone (888) 735-6332

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1144972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1416441600000",
    "number": "1235193442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2959 ALPINE TER",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452083407",
            "telephone_number": "513-533-9118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 PIEDMONT AVE STE 2200",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452194238",
            "telephone_number": "513-621-7777",
            "fax_number": "513-221-5761"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLEY",
        "first_name": "ERIN",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "DPT, MSPT, OCS, ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-14",
        "last_updated": "2014-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KY",
            "license": "004487",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "11544",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.