Kelly Clifton Mobley, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1064855 Issued in TX

Practice address

321 Garland Dr
Lake Jackson, TX 77566-6238

Phone

(979) 297-3365

Fax

(979) 297-3541

NPI assigned

Aug 11, 2009

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

Other names 1

• Kelly Clifton Price Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

• Fitness & Rehabilitation Services, LLC

  • Physical Therapist
  • Lake Jackson, TX
  • NPI 1780694562
  NPD (past)

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

{
    "created_epoch": "1249948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1294617600000",
    "number": "1851523872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "321 GARLAND DR",
            "city": "LAKE JACKSON",
            "state": "TX",
            "postal_code": "775666238",
            "telephone_number": "979-297-3365",
            "fax_number": "979-297-3541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 GARLAND DR",
            "city": "LAKE JACKSON",
            "state": "TX",
            "postal_code": "775666238",
            "telephone_number": "979-297-3365",
            "fax_number": "979-297-3541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOBLEY",
        "first_name": "KELLY",
        "middle_name": "CLIFTON",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-08-11",
        "last_updated": "2011-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1064855",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELLY",
            "last_name": "PRICE",
            "middle_name": "CLIFTON",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Physical Therapist in Lake Jackson, TX
• Providers in Lake Jackson, TX by specialty
• Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2011; 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.