Mrs Connie L Kelly, PTA is a
Physical Therapy Assistant based in Lindwood, New Jersey. Mrs Connie L Kelly is licensed to practice in New Jersey (license number 40QB00121000) and her current practice location is
601 New Rd, Lindwood, New Jersey. She can be reached at her office (for appointments etc.) via phone at
(609) 926-1161.
NPI number for Mrs Connie L Kelly is 1578528741 and her current mailing address is 601 New Rd, Lindwood, New Jersey. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1578528741.
Healthcare Provider's Profile
| Full Name | Mrs Connie L Kelly |
|---|
| Gender | Female |
|---|
| Speciality | Physical Therapy Assistant |
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| Location | 601 New Rd, Lindwood, New Jersey |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1578528741
- Provider Enumeration Date: 04/19/2006
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Mrs Connie L Kelly such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1578528741 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 2251S0007X | Physical Therapist - Sports | 40QB00121000 (New Jersey) | Primary |
| 2251X0800X | Physical Therapist - Orthopedic | 40QB00121000 (New Jersey) | Primary |
| 225200000X | Physical Therapy Assistant | 40QB00121000 (New Jersey) | 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. Mrs Connie L 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 |
|---|
Mrs Connie L Kelly, PTA
601 New Rd,
Lindwood, NJ 08221-1251
Ph: (609) 926-1161 | Mrs Connie L Kelly, PTA
601 New Rd,
Lindwood, NJ 08221-1251
Ph: (609) 926-1161 |
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