Provider Type Icon

MRS. CONNIE L KELLY PTA NPI 1578528741


NPI Information

NPI: 1578528741
Provider Name: MRS. CONNIE L KELLY, PTA
Classification: Physical Therapist - 2251S0007X
Entity Type: Individual

Specialization: Sports

Address:
601 NEW RD
LINDWOOD, NJ
ZIP 08221
Phone: (609) 926-1161
Get Directions

MRS. Connie L Kelly, PTA is a sports physical therapist in Lindwood, NJ. The provider is a licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Sports Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science, pathology and pathophysiology, medical and surgical intervention, and health and wellness, as well as rehabilitation/return to sports, management of acute injury/illness, medical and surgical consideration, injury prevention, and sports performance enhancement. MRS. Connie L Kelly, PTA NPI is 1578528741. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

601 NEW RD
LINDWOOD, NJ
ZIP 08221-251
Phone: (609) 926-1161
Fax: (601) 926-1161

The enumeration date for this NPI number is 4/19/2006 and was last updated on 7/8/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12251S0007XPhysical TherapistSports40QB00121000NEW JERSEYYes
22251X0800XPhysical TherapistOrthopedic40QB00121000NEW JERSEYX
3225200000XPhysical Therapy Assistant40QB00121000NEW JERSEYX

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.