William Kelley

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

31555 Issued in FL

Practice address

1115 E Sunrise Blvd
Fort Lauderdale, FL 33304-2809

Phone

(954) 247-4929

NPI assigned

Jul 14, 2016

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Aries PTGroup PAC ID 5395172811, 14 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Aries PT

  • Physical Therapy Clinic/Center
  • Fort Lauderdale, FL
  • NPI 1568010031

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• Ortho Florida, LLC

  • Specialist
  • Boca Raton, FL
  • NPI 1821113192
  Medicare reassignment NPD
• USA Sports Therapy South Beach Inc

  • Physical Therapist
  • Miami Beach, FL
  • NPI 1962821504
  Medicare reassignment NPD
• Ortho Florida, LLC

  • Orthopaedic Surgery Physician
  • Ft Lauderdale, FL
  • NPI 1225833858
  NPD
• The Pilates Doc, LLC

  • Physical Therapist
  • Aventura, FL
  • NPI 1992127443
  NPD (past)

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

{
    "created_epoch": "1468454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643155200000",
    "number": "1831542836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1115 E SUNRISE BLVD",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333042809",
            "telephone_number": "954-247-4929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1115 E SUNRISE BLVD",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333042809",
            "telephone_number": "954-247-4929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLEY",
        "first_name": "WILLIAM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-07-14",
        "last_updated": "2022-01-26",
        "certification_date": "2022-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "31555",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hubert Kebreau III, LDO
• Hubert T. Kebreau, OPTICIAN
• Keep Growing LLC
• Georgette Joedale Keldo
• Kimberly Kelleher, LMHC
• Tara Marie Kellogg
• Kelly Rashid Rd LLC
• Donald W Kelly, LMHC
• Kathleen Kelly, MSW, LCSW
• Kerry Kathleen Kelly, ARNP

• Physical Therapist in Fort Lauderdale, FL
• Providers in Fort Lauderdale, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2022; 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.