Joelle Mary Kelly, MSPT

Primary specialty

Pediatric Physical TherapistTaxonomy code 2251P0200X

License

2305207084 Issued in VA

Practice address

2517 Raeford CT
Virginia Beach, VA 23456-7619

Phone

(757) 430-4126

NPI assigned

Sep 9, 2011

Last updated

Sep 9, 2011By 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 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1315526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1315526400000",
    "number": "1447531066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2517 RAEFORD CT",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234567619",
            "telephone_number": "757-430-4126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2517 RAEFORD CT",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234567619",
            "telephone_number": "757-430-4126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLY",
        "first_name": "JOELLE",
        "middle_name": "MARY",
        "credential": "MSPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-09-09",
        "last_updated": "2011-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "VA",
            "license": "2305207084",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anne Christine Kelly, PT
• Ashley Reeves Kelly
• Douglas Craig Kelly, MD
• Garrett Kelly, MD
• Jessica Kelly
• Maureen Kelly, LPC
• Megan Kelly, M.S OTR/L
• Rebekah Kelly
• Ryan Kelly, MD
• Symphony L Kelly

• Pediatric Physical Therapist in Virginia Beach, VA
• Providers in Virginia Beach, VA by specialty
• Pediatric Physical Therapist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2011; 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.