Kelsey McCulley, ATC

Primary specialty

Sports Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081S0010X

License

A0001260 Issued in MD

Practice address

1501 N Market St # 4430
Frederick, MD 21701-4430

Phone

(240) 236-8200

NPI assigned

Dec 8, 2020

Last updated

Dec 8, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1607385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607385600000",
    "number": "1295331957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5203 BLACK LOCUST DR APT 113",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217037953",
            "telephone_number": "631-942-9932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 N MARKET ST # 4430",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217014430",
            "telephone_number": "240-236-8200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCULLEY",
        "first_name": "KELSEY",
        "name_prefix": "Ms.",
        "credential": "ATC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-12-08",
        "last_updated": "2020-12-08",
        "certification_date": "2020-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2081S0010X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Sports Medicine",
            "state": "MD",
            "license": "A0001260",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katherine D McComiskey
• Jennifer Marie McConnell, PTA
• McCormick & Associates Acupuncture
• Brian McCrohan, LGPC
• Lisa McCrohan, LCSW-C
• Wesley Thomas McCulley, LCSW-C
• Stefanie Jean McDaniel, RPH
• Trevon Tamar McDaniel
• Diana Erin McDermott, PHARM. D
• Jacob Aaron McDonald, LCPC

• Sports Medicine (Physical Medicine & Rehabilitation) Physician in Frederick, MD
• Providers in Frederick, MD by specialty
• Sports Medicine (Physical Medicine & Rehabilitation) Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.