Individual provider Active NPI

Danielle E Kelly, DPT

  • Physical Therapist
  • Crestview Hills, KY
National Provider Identifier
1386110492
Registry record updated Oct 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT007514 Issued in KY
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

Updated by the provider on Oct 10, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

Enrollment IDStateProvider typePAC IDDetails
I20200615000572 KY Practitioner - Physical Therapist in Private Practice 5294079547 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
93.01 of 100Reported as apm
Quality
86.02
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT007514KYMDPhysical 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.

Verify at the official NPI Registry.