Individual provider Active NPI

Kelli Frye Pugh, MS, ATC, CMT

  • Massage Therapist
  • Charlottesville, VA
National Provider Identifier
1922212679
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
0019003474 Issued in VA
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, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
0126000488VAMDAthletic Trainer
0019003474VAMDMassage 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.

Verify at the official NPI Registry.