Individual provider Active NPI

Kelley A Conley, P.T.

  • Physical Therapist
  • Fort Lauderdale, FL
National Provider Identifier
1962545137
Registry record updated Nov 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT36294 Issued in FL
Practice address
4800 NE 20TH Ter Ste 303
Fort Lauderdale, FL 33308-4510
Phone
(954) 441-8177
NPI assigned
Feb 15, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2021

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 PT36294 FL Primary

Addresses

Primary practice location

4800 NE 20TH Ter Ste 303
Fort Lauderdale, FL 33308-4510

Mailing address

PO Box 162743
Altamonte Springs, FL 32716-2743
Phone (954) 580-4084

Other practice location 1

3230 Lake Worth Rd Ste C
Palm Springs, FL 33461-3694
Phone (561) 968-7788

Other names 1

  • Miss Kelley A. Stehlin Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210511002084 FL Practitioner - Physical Therapist in Private Practice 5294902391 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Orthopaedic Institute, PA 113 clinicians

Practice addresses (Care Compare)

17270 SE 109TH Terrace Rd
Summerfield, FL 34491-9015
Phone (352) 633-7222

Merit-based Incentive Payment System (MIPS)

Final score
98.3 of 100Reported as group
Promoting interoperability
98
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3929NHMDPharmacist
PT36294FLMDPhysical Therapist
7283MAMDSpeech-Language Pathologist

Practice roles (8 of 10)

OrganizationSpecialtyStatusNew patients
Meli Orthopedic Centers of Excellence,LLC. CurrentSince Nov 11, 2021 Accepting new patients
Anesco Interventional Pain Institute, LLC CurrentSince Nov 11, 2021 Accepting new patients
The Orthopaedic Institute PA CurrentSince Aug 1, 2023 Accepting new patients
The Orthopaedic Institute, PA CurrentSince Aug 1, 2023 Accepting new patients
Anesco Interventional Pain Institute LLC CurrentSince Nov 11, 2021 Accepting new patients
Meli Orthopedic Centers of Excellence, LLC PastSince Nov 16, 2021 Accepting new patients
Meli Orthopedic Centers of Excellence, LLC Past Accepting new patients
Therafit-Tewksbury, Inc. Physical Therapist PastSince Sep 10, 2014 Accepting new patients

Locations

4701 N Federal Hwy
Ste A39
Ft Lauderdale, FL 33308
Phone (954) 351-7770

4800 NE 20th Ter
Ste 303
Ft Lauderdale, FL 33308
Phone (954) 351-7770

146 SW Orthopedic Ct
Lake City, FL 32024
Phone (386) 755-9215

2825 N State Road 7
Ste 204
Margate, FL 33063
Phone (954) 451-3002

2825 N State Road 7
Ste 203
Margate, FL 33063
Phone (954) 500-9355

17270 SE 109th Terrace Rd
Summerfield, FL 34491
Phone (352) 336-0000

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Organizations & group practices 17

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.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1171497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636675200000",
    "number": "1962545137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 162743",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327162743",
            "telephone_number": "954-580-4084",
            "fax_number": "561-968-9969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4800 NE 20TH TER STE 303",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333084510",
            "telephone_number": "954-441-8177"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3230 Lake Worth Rd Ste C",
            "address_purpose": "LOCATION",
            "city": "Palm Springs",
            "state": "FL",
            "postal_code": "334613694",
            "country_code": "US",
            "telephone_number": "561-968-7788",
            "fax_number": "561-968-9969",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CONLEY",
        "first_name": "KELLEY",
        "middle_name": "A",
        "name_prefix": "Mrs.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-15",
        "last_updated": "2021-11-12",
        "certification_date": "2021-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT36294",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELLEY",
            "last_name": "STEHLIN",
            "middle_name": "A.",
            "prefix": "MISS",
            "credential": "P.T.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Fort Lauderdale, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2021; 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.