Active NPI
Catherine Ann Kelly, PT, DPT, MS
- Physical Therapist
- West Roxbury, MA
National Provider Identifier
1629007026
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 16644
- Practice address
- 1400 VFW Pkwy
Rehabilitation Department
West Roxbury, MA 02132-4927 - Phone
- (857) 203-6779
- Fax
- (857) 203-5680
- NPI assigned
- Jun 30, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 16644 | MA | Primary |
Addresses
Primary practice location
1400 VFW Pkwy
Rehabilitation Department
West Roxbury, MA 02132-4927
Mailing address
1400 VFW Pkwy
(117)
West Roxbury, MA 02132-4927
Phone (857) 203-5117
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16644 | MA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151625600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1466380800000",
"number": "1629007026",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1400 VFW PKWY",
"address_2": "(117)",
"city": "WEST ROXBURY",
"state": "MA",
"postal_code": "021324927",
"telephone_number": "857-203-5117",
"fax_number": "857-203-5680"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1400 VFW PKWY",
"address_2": "REHABILITATION DEPARTMENT",
"city": "WEST ROXBURY",
"state": "MA",
"postal_code": "021324927",
"telephone_number": "857-203-6779",
"fax_number": "857-203-5680"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KELLY",
"first_name": "CATHERINE",
"middle_name": "ANN",
"name_prefix": "Ms.",
"credential": "PT, DPT, MS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-30",
"last_updated": "2016-06-20",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MA",
"license": "16644",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in West Roxbury, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.