Sandra Lucille Kelsey, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

11648 Issued in MA

Practice address

871 Turnpike St
Suite 108
North Andover, MA 01845-6127

Phone

(978) 746-5295

NPI assigned

Jan 4, 2007

Last updated

Nov 25, 2016By the provider in NPPES

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

Other names 1

• Ms. Sandra Lucille McKinnon Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Carewell Physical Therapy LLC

  • Physical Therapist
  • North Andover, MA
  • NPI 1275075996
  NPD (past)

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

{
    "created_epoch": "1167868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480032000000",
    "number": "1699822783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "871 TURNPIKE ST",
            "address_2": "SUITE 108",
            "city": "NORTH ANDOVER",
            "state": "MA",
            "postal_code": "018456127",
            "telephone_number": "978-746-5295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "871 TURNPIKE ST",
            "address_2": "SUITE 108",
            "city": "NORTH ANDOVER",
            "state": "MA",
            "postal_code": "018456127",
            "telephone_number": "978-746-5295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELSEY",
        "first_name": "SANDRA",
        "middle_name": "LUCILLE",
        "name_prefix": "Mrs.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-04",
        "last_updated": "2016-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "RI",
            "license": "PT 01187",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "11648",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SANDRA",
            "last_name": "MCKINNON",
            "middle_name": "LUCILLE",
            "prefix": "MS.",
            "credential": "P.T.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Tracy Anne Keen
• Amy Kehoe, LMHC
• Robyn E Keleher, MSW, LICSW
• Heidi Laura Kelleher, PMHNP-BC
• Russell Aaron Kelly, PA-C
• Jessica P Kenney, OTR/L
• Rebeka Keuten, PNP
• Evgenia Khemlin, NP
• Kids Dr. PC
• Amy Kilmon

• Physical Therapist in North Andover, MA
• Providers in North Andover, MA by specialty
• Physical Therapist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2016; 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.