Ana Alejandra Kelly, PHYSICAL THERAPIST A

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

PTA-013436 Issued in AZ

Practice address

5750 N 59TH Ave Apt 273
Glendale, AZ 85301-5851

Phone

(623) 980-4191

NPI assigned

May 29, 2018

Sex

Female

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1527552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1527552000000",
    "number": "1861983512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5750 N 59TH AVE APT 273",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853015851",
            "telephone_number": "623-980-4191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5750 N 59TH AVE APT 273",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853015851",
            "telephone_number": "623-980-4191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLY",
        "first_name": "ANA",
        "middle_name": "ALEJANDRA",
        "name_prefix": "Ms.",
        "credential": "PHYSICAL THERAPIST A",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-05-29",
        "last_updated": "2018-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapy Assistant",
            "state": "AZ",
            "license": "PTA-013436",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mackenzie Ann Kelbel, PA-C
• Michael Randall Keller, MD
• Kellie M Gray PC
• Ruth Kellum
• Kelly Milton, PLLC
• Casey Kelly, RN
• Holly Kelman
• Donna Kelnhofer, RN
• Emma Louise Keltgen, DNP, FNP-C
• Kelvin Ngo DMD & Associates, PLLC

• Physical Therapy Assistant in Glendale, AZ
• Providers in Glendale, AZ by specialty
• Physical Therapy Assistant in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2018; 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.