Individual provider Active NPI

Elizabeth Ann Kelly, PT

  • Physical Therapist
  • Raleigh, NC
National Provider Identifier
1801983747
Registry record updated Jul 26, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
10838 Issued in NC
Practice address
8300 Health Park
Suite 127
Raleigh, NC 27615-4730
Phone
(919) 845-6160
NPI assigned
Oct 10, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 10838 NC Primary

Addresses

Primary practice location

8300 Health Park
Suite 127
Raleigh, NC 27615-4730

Mailing address

8300 Health Park
Suite 127
Raleigh, NC 27615-4730
Phone (919) 845-6160

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)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Access Physical Therapy & Wellness, Inc Physical Therapist PastSince Sep 1, 2012 Accepting new patients
Access Physical Therapy, LLC Physical Therapist Past Accepting new patients
Sports & More Physical Therapy, Inc. Physical Therapist Past Accepting new patients
Kinetic Institute Physical Therapy, Inc Physical Therapist PastSince Jul 1, 2011 Accepting new patients

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1280102400000",
    "number": "1801983747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8300 HEALTH PARK",
            "address_2": "SUITE 127",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276154730",
            "telephone_number": "919-845-6160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8300 HEALTH PARK",
            "address_2": "SUITE 127",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276154730",
            "telephone_number": "919-845-6160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLY",
        "first_name": "ELIZABETH",
        "middle_name": "ANN",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-10",
        "last_updated": "2010-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "10838",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2010; 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.