Dr. Ben Kelly, DPT, CSCS

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

DR. BEN KELLY, DPT, CSCS

Practice address

1121 Holland Dr Ste 1
Boca Raton, FL 33487-2735

Phone

(443) 286-7596

NPI assigned

Aug 6, 2024

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Benjamin Patrick Kelly, PTNPI 1891427514

Title

Owner

Phone

(443) 286-7596

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Benjamin Kelly, PT

  • Physical Therapist
  • Madison, WI
  • NPI 1891427514
  NPD Authorized official

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

{
    "created_epoch": "1722902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722902400000",
    "number": "1730919507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3510 EMERALD POINTE DR APT 207B",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330211365",
            "telephone_number": "443-286-7596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1121 HOLLAND DR STE 1",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334872735",
            "telephone_number": "443-286-7596"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. BEN KELLY, DPT, CSCS",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-06",
        "last_updated": "2024-08-06",
        "certification_date": "2024-04-15",
        "status": "A",
        "authorized_official_last_name": "KELLY",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_middle_name": "PATRICK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "443-286-7596",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physical Therapy Clinic/Center in Boca Raton, FL
• Providers in Boca Raton, FL by specialty
• Physical Therapy Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 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.