Mike Kelo Physical Therapy, PLLC

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

Legal business name

MIKE KELO PHYSICAL THERAPY, PLLC

Practice address

12212 Branders Creek Dr
Chester, VA 23831-1626

Phone

(804) 425-4545

Fax

(804) 778-4522

NPI assigned

Sep 18, 2008

Last updated

Mar 2, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Michael John Kelo, PTNPI 1578524203

Title

Owner/Physical Therapist

Phone

(804) 366-8518

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Locations

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Michael J Kelo, PT

  • Physical Therapist
  • Chester, VA
  • NPI 1578524203
  Medicare reassignment Care Compare group NPD Authorized official
• Patrick Thomas Harvey Jr., PT, DPT

  • Physical Therapist
  • Chester, VA
  • NPI 1679109813
  Medicare reassignment Care Compare group NPD
• Steven Jay Pruett, PT, DPT

  • Physical Therapist
  • Jacksonville, FL
  • NPI 1881218956
  NPD
• Peter R Allen, DPT

  • Physical Therapist
  • Henrico, VA
  • NPI 1912139874
  NPD (past)
• Rebecca S Ayers, DPT

  • Physical Therapist
  • Chester, VA
  • NPI 1609124882
  NPD (past)
• Mikal D Davis, PT

  • Physical Therapist
  • Chester, VA
  • NPI 1548370299
  NPD (past)
• Susan Hess Kelo, M.S.P.T.

  • Physical Therapist
  • Chester, VA
  • NPI 1356543243
  NPD (past)

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

{
    "created_epoch": "1221696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677715200000",
    "number": "1346499928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12212 BRANDERS CREEK DR",
            "city": "CHESTER",
            "state": "VA",
            "postal_code": "238311626",
            "telephone_number": "804-425-4545",
            "fax_number": "804-425-4546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12212 BRANDERS CREEK DR",
            "city": "CHESTER",
            "state": "VA",
            "postal_code": "238311626",
            "telephone_number": "804-425-4545",
            "fax_number": "804-778-4522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIKE KELO PHYSICAL THERAPY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-18",
        "last_updated": "2023-03-02",
        "certification_date": "2023-03-02",
        "status": "A",
        "authorized_official_last_name": "KELO",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "OWNER/PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "804-366-8518",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "VA",
            "license": "2305002847",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "STF191889",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Michael a. Perini, M.D., P.C. (Chesterfield Internal Medicine and Allergy Clinic)
• Michael R Hanley DDS
• Michael R Hanley DDS, LTD (Hanley Family Dentistry, PLLC)
• Mid-Atlantic Behavioral Services , LLC
• Milan Bhagat, DMD, PLLC (Central Virginia Dental Care, PLC)
• Christopher Miller, M.D.
• Kristin Jensen Miller, MSW
• Tayedia Shanice Miller
• Anthony Junius Mills, MS

• Physical Medicine & Rehabilitation Physician in Chester, VA
• Providers in Chester, VA by specialty
• Physical Medicine & Rehabilitation Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.