Rebecca Collins Kelly, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2945 Issued in SC

Practice address

1014 Wade Hampton Blvd Ste 6
Greenville, SC 29609-5061

Phone

(864) 203-3883

NPI assigned

Jan 18, 2019

Last updated

Jan 18, 2019By 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

Enrolled in SC

Enrollment records 1

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.

• Fox Rehabilitation Services of South Carolina, LLC

  • Physical Therapist
  • Lexington, SC
  • NPI 1902133689
  Medicare reassignment NPD

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

{
    "created_epoch": "1547769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547769600000",
    "number": "1558835959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302 RAVEN RD",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296154248",
            "telephone_number": "864-304-2774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1014 WADE HAMPTON BLVD STE 6",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296095061",
            "telephone_number": "864-203-3883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLY",
        "first_name": "REBECCA",
        "middle_name": "COLLINS",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-18",
        "last_updated": "2019-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": "2945",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Martha Kelly, MCSD, CCC-SLP
• Michael W. Kelly, M.D.
• Misti Lorrain Kelly, RN
• Niyah Kelly, RBT
• Omni Kelly
• Mark Allen Kemble, M.D.
• Richard Wayne Kemmerlin, MD
• Kayleigh Noelle Kemmy, NP
• Elle B Kemp
• Leeza Kemp, RDH

• Physical Therapist in Greenville, SC
• Providers in Greenville, SC by specialty
• Physical Therapist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.