Active NPI
Cathy Rose Kelly
- Mechanotherapist
- New Port Richey, FL
National Provider Identifier
1659509917
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mechanotherapist
- License
- 20060
- Practice address
- 4508 Croton Dr
New Port Richey, FL 34652-5166 - Phone
- (727) 849-1707
- NPI assigned
- Jun 25, 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 |
|---|---|---|---|---|
| Mechanotherapist | 172M00000X | 20060 | FL | Primary |
Addresses
Primary practice location
4508 Croton Dr
New Port Richey, FL 34652-5166
Mailing address
4508 Croton Dr
New Port Richey, FL 34652-5166
Phone (727) 849-1707
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
| License | State | Type | Specialty |
|---|---|---|---|
| 20060 | FL | MD | Mechanotherapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1245888000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1245888000000",
"number": "1659509917",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4508 CROTON DR",
"city": "NEW PORT RICHEY",
"state": "FL",
"postal_code": "346525166",
"telephone_number": "727-849-1707"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4508 CROTON DR",
"city": "NEW PORT RICHEY",
"state": "FL",
"postal_code": "346525166",
"telephone_number": "727-849-1707"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KELLY",
"first_name": "CATHY",
"middle_name": "ROSE",
"name_prefix": "Ms.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-06-25",
"last_updated": "2009-06-25",
"status": "A"
},
"taxonomies": [
{
"code": "172M00000X",
"taxonomy_group": "",
"desc": "Mechanotherapist",
"state": "FL",
"license": "20060",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New Port Richey, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 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.