Michael J Kelo, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2305002847 Issued in VA

Practice address

11928 Iron Bridge PLZ
Chester, VA 23831-1441

Phone

(804) 366-8518

Fax

(804) 778-4522

NPI assigned

Mar 31, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mike Kelo Physical Therapy PLLCGroup PAC ID 9436214160, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Mike Kelo Physical Therapy, PLLC

  • Physical Medicine & Rehabilitation Physician
  • Chester, VA
  • NPI 1346499928

  Physical Therapist

  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1143763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1233187200000",
    "number": "1578524203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11801 BRAYSTONE LN",
            "city": "CHESTERFIELD",
            "state": "VA",
            "postal_code": "238385303",
            "telephone_number": "804-366-8518",
            "fax_number": "804-778-4522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11928 IRON BRIDGE PLZ",
            "city": "CHESTER",
            "state": "VA",
            "postal_code": "238311441",
            "telephone_number": "804-366-8518",
            "fax_number": "804-778-4522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELO",
        "first_name": "MICHAEL",
        "middle_name": "J",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-31",
        "last_updated": "2009-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305002847",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "STF191889",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Courtney Lynne Kauth, PA
• Brianne Kehoe, MOT, ORT/L
• Salimata Keita
• Janice Evelyn Keitz, NP
• Shatika Nicole Kelley, M.S., CCC-SLP
• Susan Hess Kelo, M.S.P.T.
• Joseph S Kennedy, D.C.
• Mishaal Khan, PA-C
• Nadeem Anwar Khan, MD
• Salmaan A. Khawaja, PSY.D., ED.S.

• Physical Therapist in Chester, VA
• Providers in Chester, VA by specialty
• Physical Therapist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2009; 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.