Individual provider Active NPI

Michelle Candice Kelly, PT

  • Physical Therapist
  • Delray Beach, FL
National Provider Identifier
1912019704
Registry record updated Sep 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT0013268 Issued in FL
Practice address
15200 S Jog Rd Ste B8
Delray Beach, FL 33446-1246
Phone
(561) 495-7171
NPI assigned
Aug 31, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT0013268 FL Primary

Addresses

Primary practice location

15200 S Jog Rd Ste B8
Delray Beach, FL 33446-1246

Mailing address

15200 S Jog Rd Ste B8
Delray Beach, FL 33446-1246
Phone (561) 495-7171

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040115000656 FL Practitioner - Physical Therapist in Private Practice 1355242173 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Boca Therapy IncGroup PAC ID 0042361024, 3 clinicians

Practice addresses (Care Compare)

15200 Jog Rd
B8
Delray Beach, FL 33446-1246
Phone (561) 495-7171

Merit-based Incentive Payment System (MIPS)

Final score
93.17 of 100Reported as group
Quality
100
Improvement activities
40
Cost
77.23

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT0013268FLMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Boca Therapy Inc Physical Therapist CurrentSince Jan 12, 2021 Accepting new patients

Locations

15200 S Jog Rd
Ste B8
Delray Beach, FL 33446
Phone (561) 495-7171

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725580800000",
    "number": "1912019704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15200 S JOG RD STE B8",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334461246",
            "telephone_number": "561-495-7171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15200 S JOG RD STE B8",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334461246",
            "telephone_number": "561-495-7171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLY",
        "first_name": "MICHELLE",
        "middle_name": "CANDICE",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-31",
        "last_updated": "2024-09-06",
        "certification_date": "2024-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT0013268",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Delray Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2024; 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.