Individual provider Active NPI

Kathryn Ann Kelly, D.P.T.

  • Physical Therapist
  • Tappahannock, VA
National Provider Identifier
1336136100
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2305204143 Issued in VA
Practice address
1924 Tappahannock Blvd
Tappahannock, VA 22560-9352
Phone
(804) 445-1015
Fax
(804) 445-1435
NPI assigned
Oct 5, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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 2305204143 VA Primary

Addresses

Primary practice location

1924 Tappahannock Blvd
Tappahannock, VA 22560-9352

Mailing address

PO Box 606
Tappahannock, VA 22560-0606
Phone (804) 445-1015

Other identifiers 1

IdentifierTypeStateIssuer
259468OtherVABCBS PROVIDER ID

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2305204143VAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Carousel Physical Therapy, Inc. Physical Therapist PastSince Apr 4, 2016 Accepting new patients
The Audiology Offices LLC PastSince Nov 19, 2013 Accepting new patients
Belfield Physical Therapy Inc Physical Therapist PastSince Nov 28, 2010 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.

NPI Registry JSON

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

{
    "created_epoch": "1128470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1336136100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 606",
            "city": "TAPPAHANNOCK",
            "state": "VA",
            "postal_code": "225600606",
            "telephone_number": "804-445-1015",
            "fax_number": "804-445-1435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1924 TAPPAHANNOCK BLVD",
            "city": "TAPPAHANNOCK",
            "state": "VA",
            "postal_code": "225609352",
            "telephone_number": "804-445-1015",
            "fax_number": "804-445-1435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLY",
        "first_name": "KATHRYN",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "D.P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-05",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305204143",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER ID",
            "identifier": "259468",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tappahannock, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.