Emily Kelly

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT019366 Issued in PA

Practice address

120 E Lancaster Ave Ste 205
Ardmore, PA 19003-3209

Phone

(484) 297-6491

NPI assigned

May 16, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Emily Baith Former name

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

One Physical Therapy and Wellness, LLCGroup PAC ID 1951439694, 12 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• One Physical Therapy and Wellness, LLC

  • Physical Therapist
  • Bryn Mawr, PA
  • NPI 1679804413
  Medicare reassignment Care Compare group NPD
• Orthopedic and Sports Physical Therapy Services, Inc.

  • Physical Therapist
  • Philadelphia, PA
  • NPI 1588661235
  Medicare reassignment NPD

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

{
    "created_epoch": "1210896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612828800000",
    "number": "1417124645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "475 ALLENDALE RD STE 206",
            "city": "KING OF PRUSSIA",
            "state": "PA",
            "postal_code": "194061495",
            "telephone_number": "610-270-0370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 E LANCASTER AVE STE 205",
            "city": "ARDMORE",
            "state": "PA",
            "postal_code": "190033209",
            "telephone_number": "484-297-6491"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "734 E Lancaster Ave",
            "address_purpose": "LOCATION",
            "city": "Villanova",
            "state": "PA",
            "postal_code": "190851325",
            "country_code": "US",
            "telephone_number": "610-964-1700",
            "fax_number": "610-688-2000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KELLY",
        "first_name": "EMILY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-16",
        "last_updated": "2021-02-09",
        "certification_date": "2021-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT019366",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PERSONAL CHOICE/KEYSTONE (IBC)",
            "identifier": "3528774000",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Ardmore",
            "affiliation": "N",
            "address_1": "120 E Lancaster Ave Ste 205",
            "city": "Ardmore",
            "state": "PA",
            "country_code": "US",
            "postal_code": "190033209",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "EMILY",
            "last_name": "BAITH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Karen L. Abrams M.D. LLC
• Kay Daily Care LLC
• Chandra Angelena Kee, MD
• Michael Paul Keenan, PT,DPT,ATC
• Desiree Keller
• Marie Kiechel, DPT
• Frank H. King Jr., M.D.
• Brendan Kirby
• Brian Kirkpatrick, RPH. PHARM D
• Karni Kissil, M.A., M.ED

• Physical Therapist in Ardmore, PA
• Providers in Ardmore, PA by specialty
• Physical Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 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.

Verify at the official NPI Registry.