Kelly Marie Clancy, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT020220 Issued in PA

Practice address

755 E Main St
Mount Joy, PA 17552-9510

Phone

(717) 653-0323

Fax

(717) 653-0527

NPI assigned

Oct 2, 2009

Last updated

Dec 29, 2014By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Kelly Marie Thomas Former name

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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.

• Pinnacle Health Medical Services

  • Family Medicine Physician
  • Harrisburg, PA
  • NPI 1932143427
  Medicare reassignment NPD
• Orthopedic Surgeons LTD

  dba Orthopedic Institute of PA

  • Orthopaedic Surgery Physician
  • Camp Hill, PA
  • NPI 1386620755
  Medicare reassignment
• Pinnacle Health Medical Services

  dba UPMC Gastroenterology Associates of Central PA

  • Gastroenterology Physician
  • Mechanicsburg, PA
  • NPI 1295552073
  NPD
• Pinnacle Health Medical Services

  dba UPMC Senior Care

  • Internal Medicine Physician
  • Annville, PA
  • NPI 1760968614
  NPD
• Phoenix Rehabilitation and Health Services, Inc.

  • Physical Therapist
  • Cranberry Township, PA
  • NPI 1720084155
  NPD (past)

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

{
    "created_epoch": "1254441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1419811200000",
    "number": "1245565621",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "755 E MAIN ST",
            "city": "MOUNT JOY",
            "state": "PA",
            "postal_code": "175529510",
            "telephone_number": "717-653-0323",
            "fax_number": "717-653-0527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "755 E MAIN ST",
            "city": "MOUNT JOY",
            "state": "PA",
            "postal_code": "175529510",
            "telephone_number": "717-653-0323",
            "fax_number": "717-653-0527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLANCY",
        "first_name": "KELLY",
        "middle_name": "MARIE",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-10-02",
        "last_updated": "2014-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT020220",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELLY",
            "last_name": "THOMAS",
            "middle_name": "MARIE",
            "credential": "PT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• William R. Burrichter, PH.D., LPC
• Care Connect Transport Services LLC
• Steven D. Cawley, DDS
• Channel Behavioral Care PA LLC
• Catherine Christmas, RBT
• Deborah Clark, L.P.C.
• Anne Regina Cotter, MD
• Nancy Cotton, MAMFT
• Eldra W Daniels, MD
• Darrenkamps Mt Joy Market Inc (Darrenkamps Pharmacy)

• Physical Therapist in Mount Joy, PA
• Providers in Mount Joy, PA by specialty
• Physical Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 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.