Active NPI
Kelsy Marie Hill, DPT
- Physical Therapist
- Conshohocken, PA
National Provider Identifier
1396400750
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT024187
- Practice address
- 115 E 11TH Ave
Conshohocken, PA 19428-1556 - Phone
- (814) 573-4282
- NPI assigned
- Nov 1, 2021
- Last updated
- Nov 1, 2021
- 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 | PT024187 | PA | Primary |
| Orthopedic Physical Therapist | 2251X0800X |
Addresses
Primary practice location
115 E 11TH Ave
Conshohocken, PA 19428-1556
Mailing address
115 E 11TH Ave
Conshohocken, PA 19428-1556
Phone (814) 573-4282
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2015
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
12109 Iroquois Rd
Conneaut Lake, PA 16316-3341
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT024187 | PA | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Physical Therapist
- Conneaut Lake, PA
- NPI 1689212136
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1635724800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1635724800000",
"number": "1396400750",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "115 E 11TH AVE",
"city": "CONSHOHOCKEN",
"state": "PA",
"postal_code": "194281556",
"telephone_number": "814-573-4282"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "115 E 11TH AVE",
"city": "CONSHOHOCKEN",
"state": "PA",
"postal_code": "194281556",
"telephone_number": "814-573-4282"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HILL",
"first_name": "KELSY",
"middle_name": "MARIE",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-11-01",
"last_updated": "2021-11-01",
"certification_date": "2021-11-01",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "PA",
"license": "PT024187",
"primary": true
},
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Conshohocken, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2021; 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.