Megan Kelly, DPT

Primary specialty

SpecialistTaxonomy code 174400000X

License

PT39863 Issued in CA

Practice address

20412 Barents Sea Cir
Lake Forest, CA 92630-8807

Phone

(949) 855-0100

Fax

(949) 855-0134

NPI assigned

Mar 25, 2013

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)

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.

• Change Sports Physical Therapy Institute

  • Orthopedic Physical Therapist
  • Huntington Beach, CA
  • NPI 1164752473
  NPD
• Impt, Inc.

  dba In Motion Physical Therapy

  • Orthopedic Physical Therapist
  • Irvine, CA
  • NPI 1184670804
  NPD
• Restorative Therapy Associates

  dba MVP Physical Therapy

  • Physical Therapy Clinic/Center
  • Lake Forest, CA
  • NPI 1023311073
  NPD (past)
• Shadow Management Services, Inc.

  dba MVP Physical Therapy

  • Pediatric Physical Therapist
  • Irvine, CA
  • NPI 1780718221
  NPD (past)

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

{
    "created_epoch": "1364169600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1364169600000",
    "number": "1710229075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20412 BARENTS SEA CIR",
            "city": "LAKE FOREST",
            "state": "CA",
            "postal_code": "926308807",
            "telephone_number": "949-855-0100",
            "fax_number": "949-855-0134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20412 BARENTS SEA CIR",
            "city": "LAKE FOREST",
            "state": "CA",
            "postal_code": "926308807",
            "telephone_number": "949-855-0100",
            "fax_number": "949-855-0134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLY",
        "first_name": "MEGAN",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-03-25",
        "last_updated": "2013-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "PT39863",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Leon Kay, D.O.
• Yuji Kayahara, DDS
• Saina Emrani Kayvon, RPH
• Nazanin Kazerooni
• Peter M Kellen, D.D.S.
• Kemeh Medical Professional Corporation
• Sabineh Keramati, D.D.S
• Alexis Kershner
• Mohsen Khamessipour, DC
• Omid Khodai, O.D.

• Specialist in Lake Forest, CA
• Providers in Lake Forest, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2013; 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.