Kaitlin Kelly

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

Practice address

5 Grant St Apt 3F
Montclair, NJ 07042-4874

Phone

(609) 442-4097

NPI assigned

Aug 24, 2026

Sex

Female

Sole proprietor

Yes

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

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

{
    "created_epoch": "1787529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787529600000",
    "number": "1720994205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 GRANT ST APT 3F",
            "city": "MONTCLAIR",
            "state": "NJ",
            "postal_code": "070424874",
            "telephone_number": "609-442-5097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 GRANT ST APT 3F",
            "city": "MONTCLAIR",
            "state": "NJ",
            "postal_code": "070424874",
            "telephone_number": "609-442-4097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLY",
        "first_name": "KAITLIN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-08-24",
        "last_updated": "2026-08-24",
        "certification_date": "2026-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alice C. Kearney
• Marjorie Keating
• Keep Creating Corp
• Stuart Ross Keil, R. PH.
• Lydia Nicole Keise, M.D.
• Erika Kendrick, LPC
• Paul Vincent Kennedy, MD
• Kenneth Y. Davis D.C.P.C.
• Amy Kenny
• Davia Kenton, LAC

• Athletic Trainer in Montclair, NJ
• Providers in Montclair, NJ by specialty
• Athletic Trainer in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.