Mr Brian N Kelly, PT in South Lake Tahoe, CA

Mr Brian N Kelly, PT is a Physical Therapist based in South Lake Tahoe, California. Mr Brian N Kelly is licensed to practice in California (license number 34365) and his current practice location is 2170 South Ave, South Lake Tahoe, California. He can be reached at his office (for appointments etc.) via phone at (530) 543-5896.

NPI number for Mr Brian N Kelly is 1619023553 and his current mailing address is Po Box 9578, South Lake Tahoe, California. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1619023553.

Contact Information

	Mr Brian N Kelly, PT
	2170 South Ave, South Lake Tahoe, CA 96150-7026
	(530) 543-5896
	(530) 544-6512

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Brian N Kelly
Gender	Male
Speciality	Physical Therapist
Location	2170 South Ave, South Lake Tahoe, California
Accepts Medicare Assignments	Does not participate in Medicare Program. He may not accept medicare assignment.

NPI Data:

NPI Number: 1619023553
Provider Enumeration Date: 01/25/2007
Last Update Date: 03/21/2018

Medical Identifiers

Medical identifiers for Mr Brian N Kelly such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1619023553	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	2264 (Nevada)	Secondary
225100000X	Physical Therapist	34365 (California)	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Brian N Kelly is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Mr Brian N Kelly, PT Po Box 9578, South Lake Tahoe, CA 96158-9578 Ph: (530) 543-5896	Mr Brian N Kelly, PT 2170 South Ave, South Lake Tahoe, CA 96150-7026 Ph: (530) 543-5896

Reviews and Comments

Physical Therapist in South Lake Tahoe, CA

Michelle Appelle, MSPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2170 South Ave, South Lake Tahoe, CA 96150 Phone: 530-543-5896 Fax: 530-544-6512
Michael Neiger, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2170 South Ave, South Lake Tahoe, CA 96150 Phone: 530-543-5896 Fax: 530-544-6512
Rene Hoogendijk, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2170 South Ave, South Lake Tahoe, CA 96150 Phone: 530-542-3000 Fax: 530-544-6512
Nancy Bru, DPT, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2170 South Ave, South Lake Tahoe, CA 96150 Phone: 530-543-5896 Fax: 530-544-6512
Joseph H Dengler, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2170 South Ave, South Lake Tahoe, CA 96150 Phone: 530-543-5896 Fax: 530-544-6512
Michael John Lyons, MPT, ATC Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2170 South Ave, South Lake Tahoe, CA 96150 Phone: 530-543-5896 Fax: 530-544-6512
Christine Ann Kozlowski, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2170 South Ave, South Lake Tahoe, CA 96150 Phone: 530-543-5896 Fax: 530-544-6512

Mr Brian N Kelly, PT - Physical Therapist in South Lake Tahoe, CA