Jill McKellar, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

05014845A Issued in IN

Practice address

3326 E Main St
Richmond, IN 47374-5929

Phone

(765) 598-4866

Fax

(765) 488-1598

NPI assigned

Oct 10, 2022

Sex

Female

Sole proprietor

No

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 IN

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Cutting Edge Physical Therapy Limited Partnership

  • Durable Medical Equipment & Medical Supplies
  • Richmond, IN
  • NPI 1275866998
  NPD (past)

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

{
    "created_epoch": "1665360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665360000000",
    "number": "1831814193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2390 NATIONAL RD W",
            "city": "RICHMOND",
            "state": "IN",
            "postal_code": "473744625",
            "telephone_number": "765-939-4871",
            "fax_number": "765-962-8273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3326 E MAIN ST",
            "city": "RICHMOND",
            "state": "IN",
            "postal_code": "473745929",
            "telephone_number": "765-598-4866",
            "fax_number": "765-488-1598"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2390 National Rd W",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "IN",
            "postal_code": "473744625",
            "country_code": "US",
            "telephone_number": "765-939-4871",
            "fax_number": "765-962-8273",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCKELLAR",
        "first_name": "JILL",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-10",
        "last_updated": "2022-10-10",
        "certification_date": "2022-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IN",
            "license": "05014845A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cicely McDaniel
• Teresa McDaniel, LMHC
• Joni L McElroy, FNP-C
• John E McGinty IV, M.D.
• Rebecca McIntosh, R.D.
• Travis Melvin McKellar, DPM
• Morgan McKillip, PTA
• Amanda Renee McKinley, LCSW
• Thomas James McKinney, M.D.
• Nicole Suzanne McLeland, LCSW

• Physical Therapist in Richmond, IN
• Providers in Richmond, IN by specialty
• Physical Therapist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.