Lora Kelly, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

J1-0014882 Issued in DE

Practice address

211 Benigno Blvd Ste 202
Bellmawr, NJ 08031-2513

Phone

(856) 931-0691

NPI assigned

May 9, 2024

Sex

Female

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1715212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715212800000",
    "number": "1699523001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 BENIGNO BLVD",
            "city": "BELLMAWR",
            "state": "NJ",
            "postal_code": "080312513",
            "telephone_number": "856-931-0691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 BENIGNO BLVD STE 202",
            "city": "BELLMAWR",
            "state": "NJ",
            "postal_code": "080312513",
            "telephone_number": "856-931-0691"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4110 Ogletown Stanton Rd",
            "address_purpose": "LOCATION",
            "city": "Newark",
            "state": "DE",
            "postal_code": "197134169",
            "country_code": "US",
            "telephone_number": "302-738-0103",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1017 4th Ave Ste 200",
            "address_purpose": "LOCATION",
            "city": "Essington",
            "state": "PA",
            "postal_code": "190291813",
            "country_code": "US",
            "telephone_number": "610-521-6880",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KELLY",
        "first_name": "LORA",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-05-09",
        "last_updated": "2024-05-09",
        "certification_date": "2024-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "DE",
            "license": "J1-0014882",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physical Therapist in Bellmawr, NJ
• Providers in Bellmawr, NJ by specialty
• Physical Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2024; 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.