Timothy David Kelly, is a
Physical Therapist based in Shallowater, Texas. Timothy David Kelly is licensed to practice in Texas (license number 1168068) and his current practice location is
1404 11th Pl, Shallowater, Texas. He can be reached at his office (for appointments etc.) via phone at
(806) 281-7550.
NPI number for Timothy David Kelly is 1124382684 and his current mailing address is 1404 11th Pl, Shallowater, Texas. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1124382684.
Healthcare Provider's Profile
Full Name | Timothy David Kelly |
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Gender | Male |
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Speciality | Physical Therapist |
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Location | 1404 11th Pl, Shallowater, Texas |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1124382684
- Provider Enumeration Date: 06/29/2012
- Last Update Date: 03/04/2024
Medical Identifiers
Medical identifiers for Timothy David Kelly such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1124382684 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225100000X | Physical Therapist | 1168068 (Texas) | 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. Timothy David 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 |
Timothy David Kelly, 1404 11th Pl, Shallowater, TX 79363-5139 Ph: (806) 281-7550 | Timothy David Kelly, 1404 11th Pl, Shallowater, TX 79363-5139 Ph: (806) 281-7550 |
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