Active NPI
Kelly Letts, PT
- Physical Therapist
- Ellington, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 007853
- Practice address
- 140 West Rd Ste B
Ellington, CT 06029-5710 - Phone
- (860) 872-7500
- NPI assigned
- Mar 21, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 007853 | CT | Primary |
Addresses
Primary practice location
140 West Rd Ste B
Ellington, CT 06029-5710
Mailing address
435 Hartford Tpke Ste U
Vernon, CT 06066-4834
Phone (860) 870-8272
Other practice location 1
181 Patricia Genova Drive
Eastern Rehabilitation Network
Newington, CT 06111
Phone (860) 667-5449
Other names 1
- Kelly Samsel
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
435 Hartford Tpke
Suite U
Vernon, CT 06066-4834
Phone (860) 870-8272
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 007853 | CT | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Integrated Rehabilitation Services Limited Partnership | Physical Therapist | Current | Accepting new patients |
| Integrated Rehabilitation Services, LLC | Physical Therapist | Current | Accepting new patients |
Locations
140 West Rd
Ste B
Ellington, CT 06029
Phone (860) 872-7500
15 Morgan Farms Dr
Ste 3
South Windsor, CT 06074
Phone (860) 644-2006
230 Mountain Rd
Fl 2
Suffield, CT 06078
Phone (860) 668-9589
435 Hartford Tpke
Ste U
Vernon Rockville, CT 06066
Phone (860) 870-8272
Organizations & group practices 2
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.
-
- Physical Therapist
- Vernon, CT
- NPI 1346969532
-
- Physical Therapist
- Vernon, CT
- NPI 1104867951
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142899200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1698796800000",
"number": "1346209178",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "435 HARTFORD TPKE STE U",
"city": "VERNON",
"state": "CT",
"postal_code": "060664834",
"telephone_number": "860-870-8272",
"fax_number": "860-875-0804"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "140 WEST RD STE B",
"city": "ELLINGTON",
"state": "CT",
"postal_code": "060295710",
"telephone_number": "860-872-7500"
}
],
"practiceLocations": [
{
"address_1": "181 Patricia Genova Drive",
"address_2": "Eastern Rehabilitation Network",
"address_purpose": "LOCATION",
"city": "Newington",
"state": "CT",
"postal_code": "06111",
"country_code": "US",
"telephone_number": "860-667-5449",
"fax_number": "860-667-8416",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LETTS",
"first_name": "KELLY",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-21",
"last_updated": "2023-11-01",
"certification_date": "2023-11-01",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CT",
"license": "007853",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KELLY",
"last_name": "SAMSEL",
"credential": "PT",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Ellington, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2023; 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.