Individual provider Active NPI

Joseph M Kelly, MSPT

  • Physical Therapist
  • Hingham, MA
National Provider Identifier
1811083595
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
8277 Issued in MA
Practice address
2 Keith Way
Hingham, MA 02043
Phone
(781) 740-2289
NPI assigned
Oct 4, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 8277 MA Primary

Addresses

Primary practice location

2 Keith Way
Hingham, MA 02043

Mailing address

88 Lakeshore Drive
Duxbury, MA 02332
Phone (781) 740-2289

Other identifiers 8

IdentifierTypeStateIssuer
3776947OtherMAAETNA
64-00321OtherMAUNITED HEALTHCARE
Y66770OtherMABLUE CROSS BLUE SHIELD
44996OtherMAFALLON HEALTH INS.
455246OtherMATUFTS HEALTH PLAN
918633OtherMAFIRST HEALTH
0365572MedicaidMA
37250OtherMAHARVARD PILGRIM INS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231018000061 FL Practitioner - Physical Therapist in Private Practice 3870769094 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Boston University School of Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fitness Quest - Venice LLCGroup PAC ID 9739125964, 44 clinicians

Practice addresses (Care Compare)

400 Tamiami TRL S
Suite 210
Venice, FL 34285-2626
Phone 87746937782004

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8277MAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Fitness Quest - Bradenton LLC CurrentSince Oct 2, 2023 Accepting new patients
Fitness Quest-Port Charlotte LLC Physical Therapist CurrentSince Oct 2, 2023 Accepting new patients
Fitness Quest - Venice LLC Physical Therapist CurrentSince Feb 1, 2025 Accepting new patients
Fitness Quest - North Port LLC Physical Therapist CurrentSince Oct 2, 2023 Accepting new patients
Fitness Quest - Venice LLC CurrentSince Feb 1, 2025 Accepting new patients
Fitness Quest West Villages, LLC CurrentSince Oct 2, 2023 Accepting new patients

Locations

3657 Cortez Rd W
Ste 110
Bradenton, FL 34210
Phone (941) 361-9020

2828 S McCall Rd
Ste 25
Englewood, FL 34224
Phone (941) 460-6174

2530 Bobcat Village Center Rd
Unit C
North Port, FL 34288
Phone (941) 426-7400

11045 Tamiami Trl S
North Port, FL 34287
Phone (877) 469-3778

3479 Precision Dr
Ste 115
North Venice, FL 34275
Phone (941) 275-6377

1649 Tamiami Trl
Ste 1A
Pt Charlotte, FL 33948
Phone (941) 743-6700

400 Tamiami Trl S
Ste 210
Venice, FL 34285
Phone (877) 469-3778

Networks

  • Freedom Health HMO Network

Organizations & group practices 6

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": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1811083595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "88 LAKESHORE DRIVE",
            "city": "DUXBURY",
            "state": "MA",
            "postal_code": "02332",
            "telephone_number": "781-740-2289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 KEITH WAY",
            "city": "HINGHAM",
            "state": "MA",
            "postal_code": "02043",
            "telephone_number": "781-740-2289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLY",
        "first_name": "JOSEPH",
        "middle_name": "M",
        "name_prefix": "Mr.",
        "credential": "MSPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "8277",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "3776947",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "64-00321",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "Y66770",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FALLON HEALTH INS.",
            "identifier": "44996",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS HEALTH PLAN",
            "identifier": "455246",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST HEALTH",
            "identifier": "918633",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0365572",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRIM INS",
            "identifier": "37250",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hingham, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.