Kelly Maureen Kerr, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

37474 Issued in CA

Practice address

1840 San Miguel Dr
Ste 100
Walnut Creek, CA 94596-8603

Phone

(650) 685-4800

Fax

(650) 685-4802

NPI assigned

Jan 4, 2011

Last updated

Feb 20, 2019By 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

Enrolled in CA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Pleasanton Physical Therapy Services IncGroup PAC ID 4284690694, 22 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Pleasanton Physical Therapy Services, Inc.

  dba Back on Track Physical Therapy

  • Physical Therapist
  • Pleasanton, CA
  • NPI 1336295138
  Medicare reassignment Care Compare group NPD
• Pleasanton Physical Therapy Services, Inc.

  • Physical Therapy Clinic/Center
  • Pleasanton, CA
  • NPI 1285044693
  NPD

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

{
    "created_epoch": "1294099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550620800000",
    "number": "1356645493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1840 SAN MIGUEL DR",
            "address_2": "STE 100",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945968603",
            "telephone_number": "650-685-4800",
            "fax_number": "650-685-4802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1840 SAN MIGUEL DR",
            "address_2": "STE 100",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945968603",
            "telephone_number": "650-685-4800",
            "fax_number": "650-685-4802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KERR",
        "first_name": "KELLY",
        "middle_name": "MAUREEN",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-01-04",
        "last_updated": "2019-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "37474",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kerae Medical Inc (Kerae Medical)
• Deborah Lynn Kerlin, M.D., F.A.C.S.
• Diane Kern, MFT
• Raechellenicole Kern
• Claire Elizabeth Kerney, PA-C
• Pamela L. Kershner, MD
• Brian Keselyak
• Janet Kettelhut
• Christopher Tyler Key, PA-C
• Brian J Keyashian, M.D.

• Physical Therapist in Walnut Creek, CA
• Providers in Walnut Creek, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2019; 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.

Verify at the official NPI Registry.