Active NPI
Kaylee Kelley, PT, CLT
- Physical Therapist
- Biddeford, ME
National Provider Identifier
1790162964
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT3936
- Practice address
- 46 Barra Rd
Biddeford, ME 04005-9459 - Phone
- (207) 283-7226
- NPI assigned
- Apr 27, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | PT3936 | ME | |
| Physical Therapist | 225100000X | PT3936 | ME | Primary |
Addresses
Primary practice location
46 Barra Rd
Biddeford, ME 04005-9459
Mailing address
12 Oakmont Dr
Old Orchard Beach, ME 04064-4138
Phone (207) 423-7715
Other practice location 1
158 Ross Rd
Kennebunk, ME 04043-6532
Phone (207) 604-7115
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0 | Other | ME | 0 |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT3936 | ME | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1430092800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1659312000000",
"number": "1790162964",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12 OAKMONT DR",
"city": "OLD ORCHARD BEACH",
"state": "ME",
"postal_code": "040644138",
"telephone_number": "207-423-7715"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "46 BARRA RD",
"city": "BIDDEFORD",
"state": "ME",
"postal_code": "040059459",
"telephone_number": "207-283-7226"
}
],
"practiceLocations": [
{
"address_1": "158 Ross Rd",
"address_purpose": "LOCATION",
"city": "Kennebunk",
"state": "ME",
"postal_code": "040436532",
"country_code": "US",
"telephone_number": "207-604-7115",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KELLEY",
"first_name": "KAYLEE",
"credential": "PT, CLT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-04-27",
"last_updated": "2022-08-01",
"certification_date": "2022-08-01",
"status": "A"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "ME",
"license": "PT3936",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "ME",
"license": "PT3936",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Biddeford, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.