Organization Active NPI

Joseph M Kelly MSPT, Inc.

  • Physical Therapist
  • Hingham, MA
National Provider Identifier
1861593568
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
8277 Issued in MA
Legal business name
JOSEPH M KELLY MSPT, INC.
Practice address
2 Keith Way
Hingham, MA 02043-4204
Phone
(781) 740-2289
NPI assigned
Sep 26, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Joseph M Kelly, MSPT
Title
Owner/President
Phone
(781) 740-2289

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X 8277 MA Primary

Addresses

Primary practice location

2 Keith Way
Hingham, MA 02043-4204

Mailing address

88 Lake Shore Dr
Duxbury, MA 02332-4147
Phone (781) 740-2289

Other identifiers 8

IdentifierTypeStateIssuer
455246OtherMATUFTS HEALTH PLAN
Y61297OtherMABLUE CROSS BLUE SHIELD
0365572MedicaidMA
44996OtherMAFALLON HEALTH INS
64-00321OtherMAUNITED HEALTHCARE
3776947OtherMAAETNA
37250OtherMAHARVARD PILGRIM INS.
918633OtherMAFIRST HEALTH

National Provider Directory

National Provider Directory

Locations

62 Derby St
Ste 12
Hingham, MA 02043
Phone (781) 740-2242

2 Keith Way
Hingham, MA 02043
Phone (781) 740-2289

NPI Registry JSON

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1861593568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "88 LAKE SHORE DR",
            "city": "DUXBURY",
            "state": "MA",
            "postal_code": "023324147",
            "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": "020434204",
            "telephone_number": "781-740-2289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSEPH M KELLY MSPT, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KELLY",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "781-740-2289",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MSPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "8277",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS HEALTH PLAN",
            "identifier": "455246",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "Y61297",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0365572",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FALLON HEALTH INS",
            "identifier": "44996",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "64-00321",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "3776947",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRIM INS.",
            "identifier": "37250",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST HEALTH",
            "identifier": "918633",
            "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 Aug 22, 2020; 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.