Active NPI
Kelly A O'Malley, MPT, DPT
- Physical Therapist
- Pittston, PA
National Provider Identifier
1629200522
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT008019L
- Practice address
- 510 Charles Cir
Pittston, PA 18640-3168 - Phone
- (570) 239-0730
- Fax
- (866) 312-5611
- NPI assigned
- Aug 11, 2009
- 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 | PT008019L | PA | Primary |
Addresses
Primary practice location
510 Charles Cir
Pittston, PA 18640-3168
Mailing address
510 Charles Cir
Pittston, PA 18640-3168
Phone (570) 239-0730
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT008019L | PA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1249948800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1249948800000",
"number": "1629200522",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "510 CHARLES CIR",
"city": "PITTSTON",
"state": "PA",
"postal_code": "186403168",
"telephone_number": "570-239-0730",
"fax_number": "866-312-5611"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "510 CHARLES CIR",
"city": "PITTSTON",
"state": "PA",
"postal_code": "186403168",
"telephone_number": "570-239-0730",
"fax_number": "866-312-5611"
}
],
"practiceLocations": [],
"basic": {
"last_name": "O'MALLEY",
"first_name": "KELLY",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "MPT, DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-08-11",
"last_updated": "2009-08-11",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "PA",
"license": "PT008019L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pittston, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.