Active NPI
Kelli Frye Pugh, MS, ATC, CMT
- Massage Therapist
- Charlottesville, VA
National Provider Identifier
1922212679
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 0019003474
- Practice address
- 290 Massie Rd
McCue Center, Room 112
Charlottesville, VA 22904-4834 - Phone
- (434) 982-5450
- Fax
- (424) 982-5470
- NPI assigned
- May 10, 2007
- Last updated
- Sep 11, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | 0126000488 | VA | |
| Massage Therapist | 225700000X | 0019003474 | VA | Primary |
Addresses
Primary practice location
290 Massie Rd
McCue Center, Room 112
Charlottesville, VA 22904-4834
Mailing address
988 Sutton CT
Charlottesville, VA 22901-3757
Phone (434) 249-3952
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0126000488 | VA | MD | Athletic Trainer |
| 0019003474 | VA | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178755200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1922212679",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "988 SUTTON CT",
"city": "CHARLOTTESVILLE",
"state": "VA",
"postal_code": "229013757",
"telephone_number": "434-249-3952"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "290 MASSIE RD",
"address_2": "MCCUE CENTER, ROOM 112",
"city": "CHARLOTTESVILLE",
"state": "VA",
"postal_code": "229044834",
"telephone_number": "434-982-5450",
"fax_number": "424-982-5470"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PUGH",
"first_name": "KELLI",
"middle_name": "FRYE",
"name_prefix": "Mrs.",
"credential": "MS, ATC, CMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-10",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "VA",
"license": "0126000488",
"primary": false
},
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "VA",
"license": "0019003474",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Charlottesville, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.