Individual provider Active NPI

Kelly Shea, PT, DPT, CSRS

  • Physical Therapist
  • Aurora, CO
National Provider Identifier
1639007404
Registry record updated May 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
CP056442T Issued in CO
Practice address
1390 S Potomac St Ste 114
Aurora, CO 80012-4529
Phone
(303) 745-6717
NPI assigned
May 12, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 26, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X CP056442T CO Primary
Physical Therapist 225100000X 310155 CA
Neurology Physical Therapist 2251N0400X 40QA02222400 NJ
Physical Therapist 225100000X CP052019T AZ

Addresses

Primary practice location

1390 S Potomac St Ste 114
Aurora, CO 80012-4529

Mailing address

17 Messig Rd
Clinton, NJ 08809-1241
Phone (908) 752-2463

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

State licenses

LicenseStateTypeSpecialty
CP052019TAZMDPhysical Therapist
310155CAMDPhysical Therapist
CP056442TCOMDPhysical Therapist
40QA02222400NJMDNeurology Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Theraphysics Partners of Colorado, Inc. Past Accepting new patients
Select Physical Therapy Holdings Inc Physical Therapist Past Accepting new patients
Select Physical Therapy of Denver LTD Physical Therapist Past Accepting new patients
Theraphysics Partners of Colorado Inc Past Accepting new patients

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1778544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779753600000",
    "number": "1639007404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 MESSIG RD",
            "city": "CLINTON",
            "state": "NJ",
            "postal_code": "088091241",
            "telephone_number": "908-752-2463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1390 S POTOMAC ST STE 114",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800124529",
            "telephone_number": "303-745-6717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEA",
        "first_name": "KELLY",
        "credential": "PT, DPT, CSRS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-05-12",
        "last_updated": "2026-05-26",
        "certification_date": "2026-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "CP056442T",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "310155",
            "primary": false
        },
        {
            "code": "2251N0400X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Neurology",
            "state": "NJ",
            "license": "40QA02222400",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "CP052019T",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aurora, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2026; 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.