Nicholas Patrick Kelp, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

05007828A Issued in IN

Practice address

118 Medical Dr
Carmel, IN 46032-3323

Phone

(765) 376-6551

NPI assigned

Apr 16, 2007

Sex

Male

Sole proprietor

No

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

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1176681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628035200000",
    "number": "1740405778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "540 W LADD AVE",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474034388",
            "telephone_number": "812-332-0716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 MEDICAL DR",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460323323",
            "telephone_number": "765-376-6551"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2455 Tamarack Trl",
            "address_purpose": "LOCATION",
            "city": "Bloomington",
            "state": "IN",
            "postal_code": "474081294",
            "country_code": "US",
            "telephone_number": "812-330-4375 x333",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KELP",
        "first_name": "NICHOLAS",
        "middle_name": "PATRICK",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-16",
        "last_updated": "2021-08-04",
        "certification_date": "2021-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IN",
            "license": "05007828A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren Kelley, FNP-C
• Jennifer L Kelly
• Kasie Kelly
• Mike Kelly
• Sean Brett Kelly, DDS
• Aleshiana Kemp
• Connie Sue Kendall
• Hannah Kennedy
• Joellen Kennedy
• Rachael Lee Kennedy, MSW, LCSW

• Physical Therapist in Carmel, IN
• Providers in Carmel, IN by specialty
• Physical Therapist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2021; 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.