Laura Kelley

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

Practice address

421 Miller Ave
Mill Valley, CA 94941-2903

Phone

(415) 388-8166

NPI assigned

May 25, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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.

• Active Marin Physical Therapy Inc

  • Physical Therapy Clinic/Center
  • Larkspur, CA
  • NPI 1184852766
  Medicare reassignment NPD

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

{
    "created_epoch": "1495670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647561600000",
    "number": "1669900361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 GOLDEN HIND PSGE",
            "city": "CORTE MADERA",
            "state": "CA",
            "postal_code": "949251909",
            "telephone_number": "415-272-0954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "421 MILLER AVE",
            "city": "MILL VALLEY",
            "state": "CA",
            "postal_code": "949412903",
            "telephone_number": "415-388-8166"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1705 DeSales St NW Fl 6",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "DC",
            "postal_code": "200364405",
            "country_code": "US",
            "telephone_number": "202-630-0378",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KELLEY",
        "first_name": "LAURA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-25",
        "last_updated": "2022-03-18",
        "certification_date": "2022-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "DC",
            "license": null,
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Janet Kass, LCSW
• Steven Lee Katz, D.C.
• Amy Kaufman, D.M.H.
• Susan Kawamoto, PT
• Evelyn B Keeler, MFT MU22999
• Stacia Kenet, MD
• Elizabeth Norah Kennard
• Morgan Rebecca Kennedy, PH.D.
• Uta Barbara Kerl, M.D.
• Nivedita Keshav, MD

• Orthopedic Physical Therapist in Mill Valley, CA
• Providers in Mill Valley, CA by specialty
• Orthopedic Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.