Active NPI
Denise M Kelley
- Specialist
- Nevada City, CA
National Provider Identifier
1598838005
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 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
National Provider Directory
National Provider DirectoryLocations
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.