Active NPI
Aaron Kelly, P.T.
- Orthopedic Physical Therapist
- Sedona, AZ
National Provider Identifier
1265816441
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- License
- 11191
- Practice address
- 6560 Highway 179
Ste. 118
Sedona, AZ 86351-7985 - Phone
- (928) 282-8428
- NPI assigned
- Jul 16, 2015
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Orthopedic Physical Therapist | 2251X0800X | 11191 | AZ | Primary |
Addresses
Primary practice location
6560 Highway 179
Ste. 118
Sedona, AZ 86351-7985
Mailing address
6560 Highway 179
Ste. 118
Sedona, AZ 86351-7985
Phone (928) 282-8428
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Texas Tech University Health Science Center School of Medicine, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
8820 E Broadway Blvd
Tucson, AZ 85710-4035
Phone (520) 829-7741
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11191 | AZ | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northern Arizona Healthcare | Past | Accepting new patients | |
| Flagstaff Medical Center | Past | Accepting new patients |
Organizations & group practices 3
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.
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- NPI 1649348442
-
- Rehabilitation Hospital Unit
- Sedona, AZ
- NPI 1538528955
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1437004800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1437004800000",
"number": "1265816441",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6560 HIGHWAY 179",
"address_2": "STE. 118",
"city": "SEDONA",
"state": "AZ",
"postal_code": "863517985",
"telephone_number": "928-282-8428"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6560 HIGHWAY 179",
"address_2": "STE. 118",
"city": "SEDONA",
"state": "AZ",
"postal_code": "863517985",
"telephone_number": "928-282-8428"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KELLY",
"first_name": "AARON",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-07-16",
"last_updated": "2015-07-16",
"status": "A"
},
"taxonomies": [
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "AZ",
"license": "11191",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sedona, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2015; 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.