Brenna Megan Kelley, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

13261 Issued in CT

Practice address

20 Chapel St
Wallingford, CT 06492-2213

Phone

(203) 741-9948

NPI assigned

Aug 19, 2021

Sex

Female

Sole proprietor

Yes

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

Enrolled in CT

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2021

Medicare assignment

May accept Medicare assignment

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.

• Physical Therapy Center of Bristol, LLC

  • Physical Therapy Clinic/Center
  • Bristol, CT
  • NPI 1396893590

  Physical Therapist

  Medicare reassignment NPD

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

{
    "created_epoch": "1629331200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629331200000",
    "number": "1740956788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 CHAPEL ST",
            "city": "WALLINGFORD",
            "state": "CT",
            "postal_code": "064922213",
            "telephone_number": "203-741-9948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 CHAPEL ST",
            "city": "WALLINGFORD",
            "state": "CT",
            "postal_code": "064922213",
            "telephone_number": "203-741-9948"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "72 Pine St Unit A",
            "address_purpose": "LOCATION",
            "city": "Bristol",
            "state": "CT",
            "postal_code": "060106960",
            "country_code": "US",
            "telephone_number": "860-585-5800",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1090 Meriden Waterbury Tpke",
            "address_purpose": "LOCATION",
            "city": "Plantsville",
            "state": "CT",
            "postal_code": "064792055",
            "country_code": "US",
            "telephone_number": "203-272-8490",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KELLEY",
        "first_name": "BRENNA",
        "middle_name": "MEGAN",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-08-19",
        "last_updated": "2021-08-19",
        "certification_date": "2021-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CT",
            "license": "13261",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kara'S Creative Counseling
• Meghana Karande, M.D.
• Karen Kremzar OT LLC
• Craig Michael Keanna, M.D., F.A.A.P.
• Elena Kelleher, DPT
• Gina Kelley, PA-C
• Janet Kelley
• Robin Christi Kenna, PA-C
• Nicole R Kerr, N.D.
• Linda M Kessler

• Physical Therapist in Wallingford, CT
• Providers in Wallingford, CT by specialty
• Physical Therapist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2021; 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.