Individual provider Active NPI

Daniel Joseph Kelley, PT, DPT

  • Physical Therapist
  • Mullica Hill, NJ
National Provider Identifier
1245819630
Registry record updated Apr 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA01993200 Issued in NJ
Practice address
3 Myers Dr Ste 201
Mullica Hill, NJ 08062-9515
Phone
(856) 502-3300
Fax
(856) 294-9241
NPI assigned
Apr 5, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 40QA01993200 NJ Primary

Addresses

Primary practice location

3 Myers Dr Ste 201
Mullica Hill, NJ 08062-9515

Mailing address

224 Strawbridge Dr Ste 100
Moorestown, NJ 08057-4602
Phone (856) 677-4000

Other practice location 1

711B Mantua Pike
West Deptford, NJ 08096-3349
Phone (856) 579-7201

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210407003059 NJ Practitioner - Physical Therapist in Private Practice 8224445382 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Strive Physical Therapy Specialists LLCGroup PAC ID 6709292535, 163 clinicians

Practice addresses (Care Compare)

711 B Mantua Pike
West Deptford, NJ 08096-3349
Phone (856) 579-7201

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Strive Physical Therapy Specialists LLC CurrentSince Apr 7, 2021 Accepting new patients
Strive Physical Therapy Specialists LLC Physical Therapist CurrentSince Apr 7, 2021 Accepting new patients
Strive Physical Therapy Specialists LLC Physical Therapist Past Accepting new patients

Locations

1 Rossmoor Dr
Ste 101
Monroe Twp, NJ 08831
Phone (609) 860-9913

740 Marne Hwy
Ste 203
Moorestown, NJ 08057
Phone (856) 914-1400

224 Strawbridge Dr
Ste 100
Moorestown, NJ 08057
Phone (856) 677-4000

3 Myers Dr
Ste 201
Mullica Hill, NJ 08062
Phone (856) 502-3300

711 Mantua Pike
#B
West Deptford, NJ 08096
Phone (856) 579-7201

711 Mantua Pike
West Deptford, NJ 08096
Phone (856) 579-7201

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1617580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617580800000",
    "number": "1245819630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "224 STRAWBRIDGE DR STE 100",
            "city": "MOORESTOWN",
            "state": "NJ",
            "postal_code": "080574602",
            "telephone_number": "856-677-4000",
            "fax_number": "856-234-3014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 MYERS DR STE 201",
            "city": "MULLICA HILL",
            "state": "NJ",
            "postal_code": "080629515",
            "telephone_number": "856-502-3300",
            "fax_number": "856-294-9241"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "711B Mantua Pike",
            "address_purpose": "LOCATION",
            "city": "West Deptford",
            "state": "NJ",
            "postal_code": "080963349",
            "country_code": "US",
            "telephone_number": "856-579-7201",
            "fax_number": "856-579-7734",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KELLEY",
        "first_name": "DANIEL",
        "middle_name": "JOSEPH",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-04-05",
        "last_updated": "2021-04-05",
        "certification_date": "2021-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01993200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mullica Hill, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2021; 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.