Sharon Lynn Kelly, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

21177615 Issued in TX

Practice address

24109 Kingwood Place Dr
Kingwood, TX 77339-2721

Phone

(832) 463-1016

NPI assigned

Aug 16, 2023

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": "1692144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692144000000",
    "number": "1588447221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17703 SORREL RIDGE DR",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773885074",
            "telephone_number": "281-610-8942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24109 KINGWOOD PLACE DR",
            "city": "KINGWOOD",
            "state": "TX",
            "postal_code": "773392721",
            "telephone_number": "832-463-1016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLY",
        "first_name": "SHARON",
        "middle_name": "LYNN",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-16",
        "last_updated": "2023-08-16",
        "certification_date": "2023-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "TX",
            "license": "21177615",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hans M. Kell, O.D.
• Christopher S Keller, MD
• Andrew Michael Kelley, PA-C
• Jordan Elyse Kellinger, MA, CF-SLP
• Kelly Michelle Kelly, CRNA
• Trace Kelly
• Kemd Consulting P.a.
• Terence Kennedy
• Kyle Phillip Kennington, MD
• Ker Specialists PLLC

• Physical Therapy Assistant in Kingwood, TX
• Providers in Kingwood, TX by specialty
• Physical Therapy Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2023; 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.