Suzan J Kelly, P.T., L..AC.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT8937 Issued in CA

Practice address

26621 Carmel Center PL
Suite #201
Carmel, CA 93923-8657

Phone

(831) 626-0540

Fax

(831) 622-7463

NPI assigned

Oct 24, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1978

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1365120000000",
    "number": "1285718601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26621 CARMEL CENTER PL",
            "address_2": "SUITE #201",
            "city": "CARMEL",
            "state": "CA",
            "postal_code": "939238657",
            "telephone_number": "831-626-0540",
            "fax_number": "831-622-7463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26621 CARMEL CENTER PL",
            "address_2": "SUITE #201",
            "city": "CARMEL",
            "state": "CA",
            "postal_code": "939238657",
            "telephone_number": "831-626-0540",
            "fax_number": "831-622-7463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLY",
        "first_name": "SUZAN",
        "middle_name": "J",
        "credential": "P.T., L..AC.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-24",
        "last_updated": "2013-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "CL2500",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT8937",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michio Kaku, M.D.
• Renee Lucero Kang, DO
• Rebecca Iza Katz, MD
• Anna Kauffman
• John Richard Kehoe, D.C.
• Kennewick Radiology Group, PC
• Jeanette Elizabeth Kenworthy, DC
• Karen Sue Kiker, D.P.M.
• Denise Klein, MS
• Lynde Boothroyd Knight, MA-CCC-SLP

• Physical Therapist in Carmel, CA
• Providers in Carmel, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2013; 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.