Individual provider Active NPI

Joseph P Kelly, OTRLCHT

  • Hand Occupational Therapist
  • Wilmington, DE
National Provider Identifier
1356492870
Registry record updated Jan 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hand Occupational TherapistTaxonomy code 225XH1200X
License
U1-0000408 Issued in DE
Practice address
3411 Silverside Rd
Concord Plaza Springer Building Suite 105
Wilmington, DE 19810-4812
Phone
(302) 478-5240
NPI assigned
Jan 12, 2007
Last updated
Jan 28, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 28, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X U1-0000408 DE
Hand Occupational Therapist 225XH1200X OC002208L PA
Hand Occupational Therapist 225XH1200X U1-0000408 DE Primary

Addresses

Primary practice location

3411 Silverside Rd
Concord Plaza Springer Building Suite 105
Wilmington, DE 19810-4812

Mailing address

800 Cotrel LN
Coatesville, PA 19320-6604
Phone (484) 643-8595

Other practice location 1

425 New London Rd
Newark, DE 19711-7009
Phone (302) 453-1588

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE, PA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20040223000893 DE Practitioner - Occupational Therapist in Private Practice 7719873223 Reassigns benefits to 3 organizations
I20231108003174 PA Practitioner - Occupational Therapist in Private Practice 7719873223 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
U1-0000408DEMDHand Occupational Therapist
OC002208LPAMDHand Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Blue Hen Physical Therapy, Inc. CurrentSince Aug 23, 2020 Accepting new patients
Novacare Outpatient Rehabilitation East, Inc. CurrentSince Oct 1, 2023 Accepting new patients
Blue Hen Physical Therapy, Inc. CurrentSince Jul 20, 2020 Accepting new patients
Novacare Outpatient Rehabilitation East Inc CurrentSince Oct 1, 2023 Accepting new patients
Novacare Outpatient Rehabilitation East, Inc. Current Accepting new patients
Rehabclinics SPT Inc CurrentSince Sep 1, 2021 Accepting new patients
Physiotherapy Associates, Inc. CurrentSince Feb 13, 2012 Accepting new patients
Physiotherapy Associates Inc CurrentSince Feb 13, 2012 Accepting new patients
Physiotherapy Associates, Inc. Current Accepting new patients
Rehabclinics SPT, Inc. CurrentSince Sep 1, 2021 Accepting new patients
Dynamic Therapy Services LLC Occupational Therapist Past Accepting new patients
Dynamic Physical Therapy Past Accepting new patients
Physiotherapy Associates Inc Past Accepting new patients
Dynamic Therapy Services of Pennsylvania LLC Past Accepting new patients

Locations

6286 Limestone Rd
Unit A2
Hockessin, DE 19707
Phone (302) 307-4003

320 Grove Ln
Newark, DE 19711
Phone (302) 565-2244

425 New London Rd
Newark, DE 19711
Phone (302) 453-1588

101 Applied Bank Blvd
Ste D4
Glen Mills, PA 19342
Phone (610) 459-2731

Organizations & group practices 14

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.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1168560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738022400000",
    "number": "1356492870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 COTREL LN",
            "city": "COATESVILLE",
            "state": "PA",
            "postal_code": "193206604",
            "telephone_number": "484-643-8595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3411 SILVERSIDE RD",
            "address_2": "CONCORD PLAZA SPRINGER BUILDING SUITE 105",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198104812",
            "telephone_number": "302-478-5240"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "425 New London Rd",
            "address_purpose": "LOCATION",
            "city": "Newark",
            "state": "DE",
            "postal_code": "197117009",
            "country_code": "US",
            "telephone_number": "302-453-1588",
            "fax_number": "302-453-9705",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KELLY",
        "first_name": "JOSEPH",
        "middle_name": "P",
        "name_prefix": "Mr.",
        "credential": "OTRLCHT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-12",
        "last_updated": "2025-01-28",
        "certification_date": "2025-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "DE",
            "license": "U1-0000408",
            "primary": false
        },
        {
            "code": "225XH1200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Hand",
            "state": "PA",
            "license": "OC002208L",
            "primary": false
        },
        {
            "code": "225XH1200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Hand",
            "state": "DE",
            "license": "U1-0000408",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2025; 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.