Active NPI
Christina Wheelwright Kelly, PT
- Physical Therapist
- Belfast, ME
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 3134
- Practice address
- 24 Martin LN
Belfast, ME 04915-6099 - Phone
- (207) 930-7037
- Fax
- (207) 930-7210
- NPI assigned
- May 28, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 3455 | NM | |
| Physical Therapist | 225100000X | 007876 | CT | |
| Physical Therapist | 225100000X | 3134 | ME | Primary |
Addresses
Primary practice location
24 Martin LN
Belfast, ME 04915-6099
Mailing address
24 Martin LN
Belfast, ME 04915-6099
Phone (207) 930-7037
Other practice location 1
7 Broken Rock Pl
Santa Fe, NM 87508-1343
Phone (505) 718-8927
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3455 | NM | MD | Addiction (Substance Use Disorder) Counselor |
| 007876 | CT | MD | Physical Therapist |
| 3134 | ME | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Magnolia Outpatient Physical Therapy Services, LLC | Physical Therapist | Current | Accepting new patients |
Locations
34 Martin Ln
Belfast, ME 04915
Phone (207) 338-4117
42 Bucksport Rd
Ellsworth, ME 04605
Phone (207) 573-1609
11 Ocean St
Jonesport, ME 04649
Phone (207) 497-2363
2500 Dallas Pkwy
Ste 410
Plano, TX 75093
Phone (940) 783-2760
Organizations & group practices 1
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.
-
- Occupational Therapist
- Belfast, ME
- NPI 1851083919
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148774400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1695859200000",
"number": "1740237494",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24 MARTIN LN",
"city": "BELFAST",
"state": "ME",
"postal_code": "049156099",
"telephone_number": "207-930-7037",
"fax_number": "207-930-7210"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "24 MARTIN LN",
"city": "BELFAST",
"state": "ME",
"postal_code": "049156099",
"telephone_number": "207-930-7037",
"fax_number": "207-930-7210"
}
],
"practiceLocations": [
{
"address_1": "7 Broken Rock Pl",
"address_purpose": "LOCATION",
"city": "Santa Fe",
"state": "NM",
"postal_code": "875081343",
"country_code": "US",
"telephone_number": "505-718-8927",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KELLY",
"first_name": "CHRISTINA",
"middle_name": "WHEELWRIGHT",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-05-28",
"last_updated": "2023-09-28",
"certification_date": "2023-09-28",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NM",
"license": "3455",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CT",
"license": "007876",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "ME",
"license": "3134",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Belfast, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.