Organization Active NPI

Denise M Kelley

  • Specialist
  • Nevada City, CA
National Provider Identifier
1598838005
Registry record updated Jun 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
DENISE M KELLEY
Practice address
555 Searls Ave
Nevada City, CA 95959-3003
Phone
(530) 470-9100
Fax
(530) 470-9119
NPI assigned
Nov 15, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2008

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

Authorized official

Name
Denise Kelley, P.T.
Title
Business Ownerphysical Therapist
Phone
(530) 470-9100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

555 Searls Ave
Nevada City, CA 95959-3003

Mailing address

555 Searls Ave
Nevada City, CA 95959-3003
Phone (530) 470-9100

Other names 1

  • Fit For Life Phyiscal Therapy Doing business as

National Provider Directory

National Provider Directory

Locations

555 Searls Ave
Nevada City, CA 95959
Phone (530) 272-2891

NPI Registry JSON

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213920000000",
    "number": "1598838005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 SEARLS AVE",
            "city": "NEVADA CITY",
            "state": "CA",
            "postal_code": "959593003",
            "telephone_number": "530-470-9100",
            "fax_number": "530-470-9119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 SEARLS AVE",
            "city": "NEVADA CITY",
            "state": "CA",
            "postal_code": "959593003",
            "telephone_number": "530-470-9100",
            "fax_number": "530-470-9119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENISE M KELLEY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-15",
        "last_updated": "2008-06-20",
        "status": "A",
        "authorized_official_last_name": "KELLEY",
        "authorized_official_first_name": "DENISE",
        "authorized_official_title_or_position": "BUSINESS OWNERPHYSICAL THERAPIST",
        "authorized_official_telephone_number": "530-470-9100",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fit For Life Phyiscal Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Nevada City, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2008; 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.