Individual provider Active NPI

Kelly Foley, DPT

  • Physical Therapist
  • Worcester, MA
National Provider Identifier
1457784332
Registry record updated Nov 28, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
20580 Issued in MA
Practice address
50 Gold Star Blvd.
Worcester, MA 01606
Phone
(508) 856-9510
Fax
(508) 853-1907
NPI assigned
Aug 15, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 20580 MA Primary

Addresses

Primary practice location

50 Gold Star Blvd.
Worcester, MA 01606

Mailing address

5 Neponset St FL Street12
Worcester, MA 01606-2714
Phone (508) 856-9510

Other practice location 1

540 Gallivan Blvd
Dorchester, MA 02124-5400
Phone (617) 282-1200

Other practice location 2

135 Gold Star Blvd
Worcester, MA 01606-2738
Phone (508) 856-9510

Other practice location 3

135 Gold Star Blvd
Worcester, MA 01606-2738
Phone (508) 856-9510

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
20580MAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Kelly Morency Physical Therapy, PLLC Current Accepting new patients
Reliant Medical Group, Inc CurrentSince Feb 19, 2018 Accepting new patients
Reliant Medical Group, Inc Physical Therapist CurrentSince Feb 19, 2018 Accepting new patients

Locations

630 Plantation St
Fl 12
Worcester, MA 01605
Phone (508) 368-5529

5 Neponset St
#12
Worcester, MA 01606
Phone (508) 595-2300

5 Neponset St
Worcester, MA 01606
Phone (508) 595-2300

135 Gold Star Blvd
Worcester, MA 01606
Phone (508) 459-6400

Interoperability endpoints

  • Direct secure messaging: kelly.morency.npi1457784332.reliant@direct.optumcare.masshiway.net

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1376524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543363200000",
    "number": "1457784332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 NEPONSET ST FL STREET12",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016062714",
            "telephone_number": "508-856-9510",
            "fax_number": "508-853-1907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 GOLD STAR BLVD.",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "01606",
            "telephone_number": "508-856-9510",
            "fax_number": "508-853-1907"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "540 Gallivan Blvd",
            "address_purpose": "LOCATION",
            "city": "Dorchester",
            "state": "MA",
            "postal_code": "021245400",
            "country_code": "US",
            "telephone_number": "617-282-1200",
            "fax_number": "617-282-9988",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "135 Gold Star Blvd",
            "address_purpose": "LOCATION",
            "city": "Worcester",
            "state": "MA",
            "postal_code": "016062738",
            "country_code": "US",
            "telephone_number": "508-856-9510",
            "fax_number": "508-853-1907",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "135 Gold Star Blvd",
            "address_purpose": "LOCATION",
            "city": "Worcester",
            "state": "MA",
            "postal_code": "016062738",
            "country_code": "US",
            "telephone_number": "508-856-9510",
            "fax_number": "508-853-1907",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FOLEY",
        "first_name": "KELLY",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-15",
        "last_updated": "2018-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "20580",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Worcester, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2018; 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.