Kelly Myott Bigelow, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

J1-0014884 Issued in DE

Practice address

17512 Shady Rd
Lewes, DE 19958-6236

Phone

(302) 444-8318

NPI assigned

Mar 28, 2006

Last updated

Jun 3, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Kelly Myott Marchetti Former name

Medicare fee-for-service enrollment

Enrolled in DE

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Aging in Place SpecialistsGroup PAC ID 6709183627, 12 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Aging in Place Specialists

  • Home Health Agency
  • Lewes, DE
  • NPI 1528427622

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• Advanced Pain Management Specialists, LLC

  dba Clearway Pain Solutions

  • Clinical Medical Laboratory
  • Owings Mills, MD
  • NPI 1316315740
  NPD (past)

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

{
    "created_epoch": "1143504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717372800000",
    "number": "1447211826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17512 SHADY RD",
            "city": "LEWES",
            "state": "DE",
            "postal_code": "199586236",
            "telephone_number": "302-444-8318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17512 SHADY RD",
            "city": "LEWES",
            "state": "DE",
            "postal_code": "199586236",
            "telephone_number": "302-444-8318"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "219 S Washington St",
            "address_purpose": "LOCATION",
            "city": "Easton",
            "state": "MD",
            "postal_code": "216012913",
            "country_code": "US",
            "telephone_number": "410-822-1000 x5532",
            "fax_number": "410-822-8364",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "127 Lubrano Dr Ste 100",
            "address_purpose": "LOCATION",
            "city": "Annapolis",
            "state": "MD",
            "postal_code": "214017559",
            "country_code": "US",
            "telephone_number": "410-224-0144",
            "fax_number": "410-224-0143",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BIGELOW",
        "first_name": "KELLY",
        "middle_name": "MYOTT",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-28",
        "last_updated": "2024-06-03",
        "certification_date": "2024-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "DE",
            "license": "J1-0014884",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "21011",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELLY",
            "last_name": "MARCHETTI",
            "middle_name": "MYOTT",
            "credential": "PT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Physical Therapist in Lewes, DE
• Providers in Lewes, DE by specialty
• Physical Therapist in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2024; 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.