Laura A Kelly, D.P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

40QA01427100 Issued in NJ

Practice address

1200 Eagle Ave
Ocean, NJ 07712-7631

Phone

(732) 660-6200

Fax

(732) 493-9981

NPI assigned

Jun 21, 2012

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

Other names 1

• Miss Laura A Daniels Former name

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mana Physical TherapyGroup PAC ID 1456648260, 9 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Mana Physical Therapy

  • Physical Therapist
  • East Brunswick, NJ
  • NPI 1982063160
  Medicare reassignment Care Compare group NPD
• Seaview Orthopaedics & Medical Associates LLP

  • Orthopaedic Surgery Physician
  • Ocean, NJ
  • NPI 1982618757

  Physical Therapist

  Medicare reassignment NPD
• Seaview Orthopaedics & Medical Associates LLP

  • Orthopaedic Surgery Physician
  • East Brunswick, NJ
  • NPI 1356215867
  NPD

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

{
    "created_epoch": "1340236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1478131200000",
    "number": "1730442070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 EAGLE AVE",
            "city": "OCEAN",
            "state": "NJ",
            "postal_code": "077127631",
            "telephone_number": "732-660-6200",
            "fax_number": "732-493-9981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 EAGLE AVE",
            "city": "OCEAN",
            "state": "NJ",
            "postal_code": "077127631",
            "telephone_number": "732-660-6200",
            "fax_number": "732-493-9981"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLY",
        "first_name": "LAURA",
        "middle_name": "A",
        "name_prefix": "Mrs.",
        "credential": "D.P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-21",
        "last_updated": "2016-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01427100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAURA",
            "last_name": "DANIELS",
            "middle_name": "A",
            "prefix": "MISS",
            "credential": "DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Valerie Ann Karabin, LPC
• Fawaz Kashlan
• Kashmira Patel MD LLC
• Brinley Kaston, LCSW
• Anthony Kelly
• Tamiyah Kelly
• Evan Bret Kelner, DPM
• Debra Kimball-Ritter, L.C.S.W.
• Kimberly Kahn, LLC
• Kindman Therapy Associates, LLC

• Physical Therapist in Ocean, NJ
• Providers in Ocean, 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 Nov 3, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.