Rebeca J Kelly, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

37410 Issued in FL

Practice address

165 E Intendencia St
Pensacola, FL 32502-5805

Phone

(850) 469-7555

NPI assigned

Mar 1, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Becky J Kelly Other name

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": "1298937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626739200000",
    "number": "1922306927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "165 E INTENDENCIA ST",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325025805",
            "telephone_number": "850-469-7555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "165 E INTENDENCIA ST",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325025805",
            "telephone_number": "850-469-7555"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1061 Harmon Ave",
            "address_2": "Physical Therapy",
            "address_purpose": "LOCATION",
            "city": "Fort Stewart",
            "state": "GA",
            "postal_code": "313145641",
            "country_code": "US",
            "telephone_number": "912-435-6633",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KELLY",
        "first_name": "REBECA",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-03-01",
        "last_updated": "2021-07-20",
        "certification_date": "2021-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "37410",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BECKY",
            "last_name": "KELLY",
            "middle_name": "J",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Beth Kelly
• David Kelly
• Jessica Lynn Kelly, D.C.
• Kristen L Kelly, PTA
• Laura Kelly
• Ryan Kelly, RN
• Susan Gail Kelly, LMT
• Theodore Kelly, OD
• Tiffany Caitlin Kelly
• Anjelique Dolores Kelsey

• Physical Therapist in Pensacola, FL
• Providers in Pensacola, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2021; 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.