Kelly Colleen Lipsey, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

J1-0001887 Issued in DE

Practice address

720 Yorklyn Rd
Suite 150
Hockessin, DE 19707-8728

Phone

(302) 234-2288

Fax

(302) 234-2869

NPI assigned

Jun 26, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Performance Physical Therapy, Inc

  • Physical Therapy Clinic/Center
  • Hockessin, DE
  • NPI 1659581130

  Physical Therapist

  NPD (past)

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

{
    "created_epoch": "1151280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1250553600000",
    "number": "1770510059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "720 YORKLYN RD",
            "address_2": "SUITE 150",
            "city": "HOCKESSIN",
            "state": "DE",
            "postal_code": "197078728",
            "telephone_number": "302-234-2288",
            "fax_number": "302-234-2869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 YORKLYN RD",
            "address_2": "SUITE 150",
            "city": "HOCKESSIN",
            "state": "DE",
            "postal_code": "197078728",
            "telephone_number": "302-234-2288",
            "fax_number": "302-234-2869"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIPSEY",
        "first_name": "KELLY",
        "middle_name": "COLLEEN",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-26",
        "last_updated": "2009-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT017890",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "DE",
            "license": "J1-0001887",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RR",
            "identifier": "P00718598",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• James Lally, MD
• Lantana Chiropractic Inc
• Stacie Lynn Larkin, PT
• Chad Evan Laurence, DC
• Alexis Senholzi Levendis, D.M.D.
• Cheryl Lissy, PT,ATC
• Lund Podiatry, LLC
• Alexis Lund, D.P.M.
• Johanna Carpenter Lyden, PHD
• Michele A Maahs, OTR L

• All providers in Hockessin, DE
• Physical Therapist in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2009; 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.