Nathan R Kelley, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

P21347 Issued in NC

Practice address

405 Boone Rd
Eden, NC 27288-4967

Phone

(336) 932-9744

Fax

(336) 627-8421

NPI assigned

Jun 2, 2022

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Duke University School of Medicine, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Protherapy Concepts, Inc.Group PAC ID 6800983867, 3 clinicians

Practice addresses (Care Compare)

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 and National Provider Directory roles.

• Protherapy Concepts, Inc.

  • Physical Therapy Clinic/Center
  • Eden, NC
  • NPI 1285788729

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• John R. Dabbs Jr. DC PC

  • Preferred Provider Organization
  • Eden, NC
  • NPI 1265630891
  NPD

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

{
    "created_epoch": "1654128000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654128000000",
    "number": "1255070637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 BOONE RD",
            "city": "EDEN",
            "state": "NC",
            "postal_code": "272884967",
            "telephone_number": "336-932-9744",
            "fax_number": "336-627-8421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 BOONE RD",
            "city": "EDEN",
            "state": "NC",
            "postal_code": "272884967",
            "telephone_number": "336-932-9744",
            "fax_number": "336-627-8421"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "802 Oakwood Dr",
            "address_purpose": "LOCATION",
            "city": "Eden",
            "state": "NC",
            "postal_code": "272885918",
            "country_code": "US",
            "telephone_number": "336-428-6448",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KELLEY",
        "first_name": "NATHAN",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-06-02",
        "last_updated": "2022-06-02",
        "certification_date": "2022-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "P21347",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John R. Dabbs Jr. DC PC
• Lance Alexander Johnson, DPT
• Mark Saunders Jordan, M.D.
• Michael Rufus Joyce, DPM
• Kamran Hameed, D.M.D., P.a.
• Monica Mamina Kelly-Coleman, FNP
• Jay Kelly, OTL
• Kernodles Family Care No-1
• Roy Robert Keys, MD
• Laura Khorozov, M.A.,CCC-SLP

• Physical Therapist in Eden, NC
• Providers in Eden, NC by specialty
• Physical Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2022; 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.