Active NPI
Matthew Harrison Kelley, PT, DPT
- Orthopedic Physical Therapist
- Independence, OH
National Provider Identifier
1801319074
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- License
- PT016345
- Practice address
- 5001 Rockside Rd # In10
Independence, OH 44131-2172 - Phone
- (216) 986-4272
- NPI assigned
- Jul 19, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopedic Physical Therapist | 2251X0800X | PT016345 | OH | Primary |
Addresses
Primary practice location
5001 Rockside Rd # In10
Independence, OH 44131-2172
Mailing address
5001 Rockside Road
In10
Independence, OH 44131
Phone (216) 986-4272
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 |
|---|---|---|---|
| PT016345 | OH | MD | Orthopedic Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1500422400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1801319074",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5001 ROCKSIDE ROAD",
"address_2": "IN10",
"city": "INDEPENDENCE",
"state": "OH",
"postal_code": "44131",
"telephone_number": "216-986-4272"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5001 ROCKSIDE RD # IN10",
"city": "INDEPENDENCE",
"state": "OH",
"postal_code": "441312172",
"telephone_number": "216-986-4272"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KELLEY",
"first_name": "MATTHEW",
"middle_name": "HARRISON",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-07-19",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "OH",
"license": "PT016345",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Independence, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.