Active NPIIndividual provider

Niyyah Kelly

Physical Therapist in Millburn, New Jersey

NPI Number1265070528
Practice location
187 Millburn Ave, Millburn, NJ 07041-1847
Fax
973-467-7971
Last updated
December 18, 2019

Niyyah Kelly is a Physical Therapist based in Millburn, NJ. Niyyah Kelly practices in Millburn, NJ. The NPI Number for Niyyah Kelly is 1265070528 and holds a License No. 40QA01909200 (NJ). The current practice location address for Niyyah Kelly is 187 Millburn Ave, Millburn, NJ 07041-1847 and can be reached out via phone at 973-467-7976 and via fax at 973-467-7971.

Provider Profile Details

NPI Number
1265070528
Provider Name
Niyyah Kelly
Provider Entity Type
Individual
Gender
Female
Address
187 Millburn Ave, Millburn, NJ 07041-1847
Phone Number
973-467-7976
Fax Number
973-467-7971
Primary Taxonomy
Physical Therapist · 225100000X
Sole Proprietor
No
Provider Enumeration Date
December 18, 2019
Last Update Date
December 18, 2019
Certification Date
December 18, 2019
NPI Status
Active

Provider Business Practice Location Address Details

Address
187 Millburn Ave
Millburn, NJ 07041-1847
Zip
07041-1847
Phone Number
973-467-7976
Fax Number
973-467-7971
Millburn, NJ 07041Get directions →

Provider Business Mailing Address Details

Address
576 Broadhollow RD
Melville, NY 11747-5002
City
Melville
State
NY
Zip
11747-5002
Phone Number
631-359-5859
Fax Number
631-396-0864

License Information

License Number
40QA01909200
License State
NJ
Taxonomy
Physical Therapist · 225100000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Niyyah Kelly?

The NPI number of Niyyah Kelly is 1265070528. It was assigned on December 18, 2019 and is currently active in the NPPES registry.

What is the specialty of Niyyah Kelly?

Niyyah Kelly is registered under the primary taxonomy Physical Therapist (code 225100000X), licensed in NJ under license number 40QA01909200.

Where does Niyyah Kelly practice?

The practice location is 187 Millburn Ave, Millburn, NJ 07041-1847. The office can be reached at 973-467-7976 (phone) or 973-467-7971 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1265070528 directly on the NPPES registry website.

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