Richard A Kelly Jr., DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

13103 Issued in MN

Practice address

6710A Rockledge Dr Ste 120a
Bethesda, MD 20817-2843

Phone

(301) 798-4838

NPI assigned

Jun 20, 2023

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in DC

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2023

Medicare assignment

May accept Medicare assignment

Group practices

Rehab 2 Perform LLCGroup PAC ID 6002199064, 92 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Rehab 2 Perform LLC

  • Physical Therapist
  • Germantown, MD
  • NPI 1306251434

  DC

  Medicare reassignment Care Compare group NPD
• Rehab 2 Perform LLC

  • Physical Therapist
  • Columbia, MD
  • NPI 1295618692
  NPD

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

{
    "created_epoch": "1687219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687219200000",
    "number": "1659056216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7507 SOUTHWORTH CIR",
            "city": "PLAINFIELD",
            "state": "IL",
            "postal_code": "605865953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6710A ROCKLEDGE DR STE 120A",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208172843",
            "telephone_number": "301-798-4838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLY",
        "first_name": "RICHARD",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-06-20",
        "last_updated": "2023-06-20",
        "certification_date": "2023-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MN",
            "license": "13103",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katherine Kelly, LMSW
• Kelcei Erin Kelly, LMSW
• Malik Kelly
• Margaret Kelly
• Maurine Kelber Kelly, PHD
• William Frances Kelly III, M.D.
• Debra Annette Kendrick, RN, CCRN, CPAN
• Patrick Kennelly, PT
• Kenneth R Thau (Thorstherapy, LLC)
• Christine Kenny, LICSW

• Physical Therapist in Bethesda, MD
• Providers in Bethesda, MD by specialty
• Physical Therapist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.