Active NPI
Kelly Hope Jones
- Physical Therapist
- Fort Defiance, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT5331
- Practice address
- Fort Defiance Indian Hospital Board, Inc.
Corner of Route N12 and N7
Fort Defiance, AZ 86504 - Phone
- (928) 729-8810
- NPI assigned
- Sep 4, 2018
- Last updated
- Sep 4, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT5331 | NM | Primary |
Addresses
Primary practice location
Fort Defiance Indian Hospital Board, Inc.
Corner of Route N12 and N7
Fort Defiance, AZ 86504
Mailing address
PO Box 589
Fort Defiance, AZ 86504-0589
Other names 1
- Kelly Hope Chapman
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX, AZ
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2018
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
PO Box
Suite 457
Ganado, AZ 86505
PO Box
Suite 457
Ganado, AZ 86505-0457
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT5331 | NM | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Navajo Health Foundation-Sage Memorial Hospital, Inc. | Current | Accepting new patients | |
| The Fort Defiance Indian Hospital Board, Incorporation | Current | Accepting new patients | |
| Zuni Indian Hospital | Current | Accepting new patients | |
| Navajo Health Foundation-Sage Memorial Hospital Inc | Current | Accepting new patients |
Organizations & group practices 4
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.
-
dba Sage Memorial Physicians
- Rural Acute Care Hospital
- Ganado, AZ
- NPI 1477735777
-
dba Fort Defiance Indian Hospital
- General Acute Care Hospital
- Fort Defiance, AZ
- NPI 1477876639
TX
-
dba Sage Memorial Hospital
- Critical Access Hospital Clinic/Center
- Ganado, AZ
- NPI 1518957398
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1536019200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1536019200000",
"number": "1407338718",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 589",
"city": "FORT DEFIANCE",
"state": "AZ",
"postal_code": "865040589"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "FORT DEFIANCE INDIAN HOSPITAL BOARD, INC.",
"address_2": "CORNER OF ROUTE N12 AND N7",
"city": "FORT DEFIANCE",
"state": "AZ",
"postal_code": "86504",
"telephone_number": "928-729-8810"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JONES",
"first_name": "KELLY",
"middle_name": "HOPE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-09-04",
"last_updated": "2018-09-04",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NM",
"license": "PT5331",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KELLY",
"last_name": "CHAPMAN",
"middle_name": "HOPE",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Fort Defiance, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2018; 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.