Active NPI
Kelly Ballay
- Physical Therapist
- New Orleans, LA
National Provider Identifier
1235463795
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 05054
- Practice address
- 2832 Burdette St
New Orleans, LA 70125-2514 - Phone
- (504) 861-9970
- NPI assigned
- Sep 30, 2009
- Last updated
- Sep 30, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 05054 | LA | Primary |
Addresses
Primary practice location
2832 Burdette St
New Orleans, LA 70125-2514
Mailing address
116 Liberty St
Belle Chasse, LA 70037-1604
Phone (504) 430-8997
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
| License | State | Type | Specialty |
|---|---|---|---|
| 05054 | LA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1254268800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1254268800000",
"number": "1235463795",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "116 LIBERTY ST",
"city": "BELLE CHASSE",
"state": "LA",
"postal_code": "700371604",
"telephone_number": "504-430-8997"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2832 BURDETTE ST",
"city": "NEW ORLEANS",
"state": "LA",
"postal_code": "701252514",
"telephone_number": "504-861-9970"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BALLAY",
"first_name": "KELLY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-09-30",
"last_updated": "2009-09-30",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "LA",
"license": "05054",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New Orleans, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.