Andrew Kelly

Primary specialty

Physical TherapistTaxonomy code 225100000X

Practice address

13330 Bloomfield Ave Ste 101
Norwalk, CA 90650-3259

Phone

(562) 484-3860

NPI assigned

Dec 5, 2017

Last updated

Dec 5, 2017By the provider in NPPES

Sex

Male

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Active Sports Rehab Physical Therapy, Inc.

  dba Active Sports Rehab Physical Therapy

  • Physical Therapist
  • Buena Park, CA
  • NPI 1194309542
  NPD (past)
• Recovercare Therapy Group, Inc.

  • Physical Therapist
  • Norwalk, CA
  • NPI 1659301935
  NPD (past)

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

{
    "created_epoch": "1512432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1512432000000",
    "number": "1396250981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13330 BLOOMFIELD AVE STE 101",
            "city": "NORWALK",
            "state": "CA",
            "postal_code": "906503259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13330 BLOOMFIELD AVE STE 101",
            "city": "NORWALK",
            "state": "CA",
            "postal_code": "906503259",
            "telephone_number": "562-484-3860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLY",
        "first_name": "ANDREW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-12-05",
        "last_updated": "2017-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eduardo Kasperian, DDS
• Brian Kaufman, LCSW
• Parminder Kaur, FNP
• Yasaman Kazemi Hokmabadi
• Dennis Ernest Keefe, PH.D.
• Nancy Kelly, FNP
• Cheryl Ann Kempinsky, PHD
• Kenneth C Nieberg MD Inc
• Dylan Kenney
• Hedi Kermani, DDS, MDS

• Physical Therapist in Norwalk, CA
• Providers in Norwalk, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.