| Katie Kelly, | |
|
11224 Park Blvd, Seminole, FL 33772-4752 | |
| (727) 394-0949 | |
| (727) 394-7031 |
| Full Name | Katie Kelly |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist |
| Location | 11224 Park Blvd, Seminole, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417581026 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2251X0800X | Physical Therapist - Orthopedic | PT028425 (Pennsylvania) | Secondary |
| 225100000X | Physical Therapist | PT38450 (Florida) | Primary |
| Provider Name | Orthopedic And Sports Physical Therapy Services Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1588661235 PECOS PAC ID: 4082507660 Enrollment ID: O20150508000371 |
| Mailing Address | Practice Location Address |
|---|---|
| Katie Kelly, 11224 Park Blvd, Seminole, FL 33772-4752 Ph: (727) 394-0949 | Katie Kelly, 11224 Park Blvd, Seminole, FL 33772-4752 Ph: (727) 394-0949 |
Elaine Rosemary Maccollom, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 8140 Bayhaven Dr, Seminole, FL 33776 Phone: 727-644-0403 Fax: 727-398-1372 | |
Emmett Caskey, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 9387 Seminole Blvd, Seminole, FL 33772 Phone: 727-394-8161 | |
Mr. John Mark Gordon, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 9393 Park Blvd, Seminole, FL 33777 Phone: 727-391-2200 | |
Ms. Valerie Doty Harrah, R.P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 8286 129th Ln, Seminole, FL 33776 Phone: 727-320-8510 | |
Lauren Mott Godfrey, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 8333 Seminole Blvd, Seminole, FL 33772 Phone: 727-366-8841 Fax: 727-803-9016 | |
Kyle Romeo, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 8333 Seminole Blvd, Seminole, FL 33772 Phone: 727-914-5982 | |
Dr. Tyler Ross, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 11224 Park Blvd, Seminole, FL 33772 Phone: 727-394-0949 |