Joel Kelley

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1308007 Issued in TX

Practice address

101B W Central Texas Expy Ste D
Harker Heights, TX 76548

Phone

(254) 630-1186

Fax

(254) 213-9235

NPI assigned

Dec 3, 2018

Last updated

Apr 2, 2019By the provider in NPPES

Sex

Male

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 TX

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Legacy Beach Therapies LLCGroup PAC ID 0941666770, 2 clinicians

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Legacy Beach Therapies LLC

  • Physical Therapy Clinic/Center
  • Nolanville, TX
  • NPI 1417664541

  Physical Therapist

  Medicare reassignment Care Compare group NPD Authorized official
• Kids Therapy Specialties LLC

  • Physical Therapist
  • Waco, TX
  • NPI 1407923808
  Medicare reassignment NPD

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

{
    "created_epoch": "1543795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554163200000",
    "number": "1750851713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11538",
            "city": "KILLEEN",
            "state": "TX",
            "postal_code": "765471538",
            "telephone_number": "254-245-9177",
            "fax_number": "254-245-9178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101B W CENTRAL TEXAS EXPY STE D",
            "city": "HARKER HEIGHTS",
            "state": "TX",
            "postal_code": "76548",
            "telephone_number": "254-630-1186",
            "fax_number": "254-213-9235"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1706 W Avenue M",
            "address_purpose": "LOCATION",
            "city": "Temple",
            "state": "TX",
            "postal_code": "765046769",
            "country_code": "US",
            "telephone_number": "254-598-2620",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1706 W Avenue M",
            "address_purpose": "LOCATION",
            "city": "Temple",
            "state": "TX",
            "postal_code": "765046769",
            "country_code": "US",
            "telephone_number": "254-598-2620",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KELLEY",
        "first_name": "JOEL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-12-03",
        "last_updated": "2019-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1308007",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alan Katende, D.D.S
• Katies Way Killeen PLLC (Katies Way)
• Harmeet Kaur, DO
• Kelly Keeney, DPT
• Ebony D. Kees
• Brandi Marie Kelso
• Robert Clayton Kelso
• Mikayla Joy Kenney, PT, DPT
• Danielle K Kerr Kastris, LICSW
• Shekeitha Monique Keys

• Physical Therapist in Harker Heights, TX
• Providers in Harker Heights, TX by specialty
• Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2019; 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.