Individual provider Active NPI

Christina Wheelwright Kelly, PT

  • Physical Therapist
  • Belfast, ME
National Provider Identifier
1740237494
Registry record updated Sep 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
3134 Issued in ME
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

Updated by the provider on Sep 28, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
3455NMMDAddiction (Substance Use Disorder) Counselor
007876CTMDPhysical Therapist
3134MEMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Magnolia Outpatient Physical Therapy Services, LLC Physical Therapist CurrentSince Oct 3, 2023 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.

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.

Verify at the official NPI Registry.