Nicole Kristen Jelley, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1381957 Issued in TX

Practice address

650 S Greenville Ave
Allen, TX 75002-3037

Phone

(877) 407-3422

Fax

(877) 407-4329

NPI assigned

Nov 9, 2024

Last updated

Nov 9, 2024By the provider in NPPES

Sex

Female

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Fox Rehabilitation Services TX LLC

  • Physical Therapist
  • Allen, TX
  • NPI 1710582580
  NPD

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

{
    "created_epoch": "1731110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731110400000",
    "number": "1336963131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 CARNEGIE PLZ",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080031000",
            "telephone_number": "877-407-3422",
            "fax_number": "877-407-4329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 S GREENVILLE AVE",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "750023037",
            "telephone_number": "877-407-3422",
            "fax_number": "877-407-4329"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JELLEY",
        "first_name": "NICOLE",
        "middle_name": "KRISTEN",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-11-09",
        "last_updated": "2024-11-09",
        "certification_date": "2024-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1381957",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dalia Jawad, M.S. CCC, SLP
• Nishant Kamlesh Jayswal
• Meena Chahar Jeanes, LMSW
• Jeffery B Wood
• Jeffrey H Landau MD PA
• Jenevieve Homecare and Hospice (Jenevieve Homecare)
• Mark Byron Jennings, MD
• Esther Bu-Dul Jeong, DDS
• Jesin Health Services LLC
• Mengmeng Jiang

• Physical Therapist in Allen, TX
• Providers in Allen, TX by specialty
• Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2024; 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.