Active NPI
Danielle E Kelly, DPT
- Physical Therapist
- Crestview Hills, KY
National Provider Identifier
1386110492
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT007514
- Practice address
- 544 Centre View Blvd.
Crestview Hills, KY 41017-3400 - Phone
- (513) 221-1100
- Fax
- (513) 569-5225
- NPI assigned
- Oct 16, 2018
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT017738 | OH | |
| Physical Therapist | 225100000X | PT007514 | KY | Primary |
Addresses
Primary practice location
544 Centre View Blvd.
Crestview Hills, KY 41017-3400
Mailing address
PO Box 643398
Cincinnati, OH 45264-3398
Phone (513) 221-1100
Other practice location 1
6130 Harrison Ave
Cincinnati, OH 45247-7848
Phone (513) 221-1100
Other practice location 2
9075 Centre Pointe Dr Ste 200
West Chester, OH 45069-4886
Phone (513) 221-1100
Other practice location 3
3825 Edwards Rd Ste 300
Cincinnati, OH 45209-1288
Phone (513) 221-1100
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 93.01 of 100
- Quality
- 86.02
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT007514 | KY | MD | Physical Therapist |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1539648000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1665360000000",
"number": "1386110492",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 643398",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452643398",
"telephone_number": "513-221-1100",
"fax_number": "513-569-5297"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "544 CENTRE VIEW BLVD.",
"city": "CRESTVIEW HILLS",
"state": "KY",
"postal_code": "410173400",
"telephone_number": "513-221-1100",
"fax_number": "513-569-5225"
}
],
"practiceLocations": [
{
"address_1": "6130 Harrison Ave",
"address_purpose": "LOCATION",
"city": "Cincinnati",
"state": "OH",
"postal_code": "452477848",
"country_code": "US",
"telephone_number": "513-221-1100",
"fax_number": "513-569-5225",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "9075 Centre Pointe Dr Ste 200",
"address_purpose": "LOCATION",
"city": "West Chester",
"state": "OH",
"postal_code": "450694886",
"country_code": "US",
"telephone_number": "513-221-1100",
"fax_number": "513-569-5225",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3825 Edwards Rd Ste 300",
"address_purpose": "LOCATION",
"city": "Cincinnati",
"state": "OH",
"postal_code": "452091288",
"country_code": "US",
"telephone_number": "513-221-1100",
"fax_number": "513-569-5225",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KELLY",
"first_name": "DANIELLE",
"middle_name": "E",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-10-16",
"last_updated": "2022-10-10",
"certification_date": "2022-10-10",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OH",
"license": "PT017738",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "KY",
"license": "PT007514",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Crestview Hills, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2022; 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.