Individual provider Active NPI

Kelly Anne Wolfe, PT, DPT

  • Physical Therapist
  • Darien, CT
National Provider Identifier
1649574476
Registry record updated Feb 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
9894 Issued in CT
Practice address
319 Post Rd
Darien, CT 06820
Phone
(475) 209-9420
Fax
(475) 209-9421
NPI assigned
Jan 9, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 5, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 9894 CT Primary

Addresses

Primary practice location

319 Post Rd
Darien, CT 06820

Mailing address

7 Reynolds Ave
Stamford, CT 06905-4121
Phone (914) 960-4024

Other practice location 1

530 Main St
Armonk, NY 10504-1843
Phone (914) 234-4445

Other practice location 2

200 Pemberwick Rd
Greenwich, CT 06831-4236
Phone (203) 998-6522

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

LicenseStateTypeSpecialty
009894NYMDMental Health Counselor
12976NCMDPharmacist
035990NYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Ibis Medical Care PLLC CurrentSince Nov 8, 2022 Accepting new patients

Organizations & group practices 1

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": "1294531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549324800000",
    "number": "1649574476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 REYNOLDS AVE",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069054121",
            "telephone_number": "914-960-4024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "319 POST RD",
            "city": "DARIEN",
            "state": "CT",
            "postal_code": "06820",
            "telephone_number": "475-209-9420",
            "fax_number": "475-209-9421"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "530 Main St",
            "address_purpose": "LOCATION",
            "city": "Armonk",
            "state": "NY",
            "postal_code": "105041843",
            "country_code": "US",
            "telephone_number": "914-234-4445",
            "fax_number": "914-234-4446",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "200 Pemberwick Rd",
            "address_purpose": "LOCATION",
            "city": "Greenwich",
            "state": "CT",
            "postal_code": "068314236",
            "country_code": "US",
            "telephone_number": "203-998-6522",
            "fax_number": "475-209-9421",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WOLFE",
        "first_name": "KELLY",
        "middle_name": "ANNE",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-01-09",
        "last_updated": "2019-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CT",
            "license": "9894",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Darien, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2019; 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.