Kelly Lee Byrd, PT – Physical Therapist in Elwood, IN

Key facts

NPI: 1942483151
Entity type: Individual (NPI type 1)
Primary specialty: Physical Therapist 225100000X
License: 05008240A (IN)
Practice address: 226 S Anderson St
Suite B
Elwood, IN 46036-2015
Phone: (765) 552-8460
Fax: (765) 552-8470
NPI assigned: Dec 11, 2007
Sex: Female
Sole proprietor: No

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): No

State licenses

License	State	Type	Specialty
05008240A	IN	MD	Physical Therapist

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Physical Therapist	225100000X	05008240A	IN	Yes

Addresses

Primary practice location

226 S Anderson St
Suite B
Elwood, IN 46036-2015

Mailing address

226 S Anderson St
Suite B
Elwood, IN 46036-2015
Phone (765) 552-8460

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Dec 11, 2007.

{
    "created_epoch": "1197331200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1197331200000",
    "number": "1942483151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "226 S ANDERSON ST",
            "address_2": "SUITE B",
            "city": "ELWOOD",
            "state": "IN",
            "postal_code": "460362015",
            "telephone_number": "765-552-8460",
            "fax_number": "765-552-8470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "226 S ANDERSON ST",
            "address_2": "SUITE B",
            "city": "ELWOOD",
            "state": "IN",
            "postal_code": "460362015",
            "telephone_number": "765-552-8460",
            "fax_number": "765-552-8470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BYRD",
        "first_name": "KELLY",
        "middle_name": "LEE",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-12-11",
        "last_updated": "2007-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IN",
            "license": "05008240A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elwood, IN

All providers in Elwood, IN · Physical Therapist in Indiana

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 11, 2007. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.