Joshua Kelley, D.P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

4474 Issued in OK

Practice address

119 E 4TH St
Tulsa, OK 74103-5002

Phone

(918) 382-0200

Fax

(918) 382-0218

NPI assigned

Jul 6, 2011

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 9

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

University of Oklahoma College of Medicine, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Redbud Physical Therapy LLCGroup PAC ID 4486939949, 32 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Redbud Physical Therapy LLC

  • Physical Therapy Clinic/Center
  • Tulsa, OK
  • NPI 1710437306

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• Redbud Physical Therapy LLC

  • Durable Medical Equipment & Medical Supplies
  • Skiatook, OK
  • NPI 1730831868
  NPD

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

{
    "created_epoch": "1309910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1340150400000",
    "number": "1982991444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4812 E 33RD ST",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741352038",
            "telephone_number": "918-622-4126",
            "fax_number": "918-270-2398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 E 4TH ST",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741035002",
            "telephone_number": "918-382-0200",
            "fax_number": "918-382-0218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLEY",
        "first_name": "JOSHUA",
        "credential": "D.P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-07-06",
        "last_updated": "2012-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OK",
            "license": "4474",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200034500E",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200034500B",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200034500C",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200034500D",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200034500G",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200034500F",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200034500A",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200034500H",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200034500I",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ammie Wall Kelley
• Ashley Marie Kelley, LCSW
• Beverly Kay Kelley, RD,LD,CDE
• Carla Ann Kelley
• Jordan Kelley, OTR/L
• Kelli Dawn Kelley, OT
• Keneshia Dawn Kelley, M.ED
• Kim Kelley
• Michelle Kelley, M.D.
• Morgan Elaine Kelley

• Physical Therapist in Tulsa, OK
• Providers in Tulsa, OK by specialty
• Physical Therapist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2012; 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.