Amy Kelley, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

003338 Issued in CT

Practice address

11 Fox Wood Rd
Trumbull, CT 06611-4012

Phone

(203) 386-9713

Fax

(203) 386-9723

NPI assigned

May 14, 2007

Sex

Female

Sole proprietor

Yes

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)

Not enrolled

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

{
    "created_epoch": "1179100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1447465398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 FOX WOOD RD",
            "city": "TRUMBULL",
            "state": "CT",
            "postal_code": "066114012",
            "telephone_number": "203-386-9713",
            "fax_number": "203-386-9723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 FOX WOOD RD",
            "city": "TRUMBULL",
            "state": "CT",
            "postal_code": "066114012",
            "telephone_number": "203-386-9713",
            "fax_number": "203-386-9723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLEY",
        "first_name": "AMY",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CT",
            "license": "003338",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kavita Joshi LLC
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• Gail Marshall Kay, MS, CCC-SLP
• Sohail Kayani, M.D.
• Kazuko Nakamura LLC
• Todd Thomas Kellogg, LMFT
• Krystal Kelly, PHARMD
• Lilly Kemm, APRN
• Jill Cooper Kenney, N.D.
• Jada Joy Kerr

• Physical Therapist in Trumbull, CT
• Providers in Trumbull, CT by specialty
• Physical Therapist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.