Active NPIIndividual provider

Mrs. Connie L Kelly, PTA

Physical Therapist, Orthopedic in Lindwood, New Jersey

NPI Number1578528741
Practice location
601 New RD, Lindwood, NJ 08221-1251
Fax
601-926-1161
Last updated
July 13, 2026

Connie L Kelly is a Physical Therapist, Orthopedic based in Lindwood, NJ. Connie L Kelly practices in Lindwood, NJ and has the professional credentials of PTA. The NPI Number for Connie L Kelly is 1578528741 and holds a License No. 40QB00121000 (NJ). The current practice location address for Connie L Kelly is 601 New RD, Lindwood, NJ 08221-1251 and can be reached out via phone at 609-926-1161 and via fax at 601-926-1161.

Provider Profile Details

NPI Number
1578528741
Provider Name
Connie L Kelly
Credential
PTA
Provider Entity Type
Individual
Gender
Female
Address
601 New RD, Lindwood, NJ 08221-1251
Phone Number
609-926-1161
Fax Number
601-926-1161
Primary Taxonomy
Physical Therapist, Orthopedic · 2251X0800X
Sole Proprietor
No
Provider Enumeration Date
April 19, 2006
Last Update Date
July 13, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
601 New RD
Lindwood, NJ 08221-1251
Zip
08221-1251
Phone Number
609-926-1161
Fax Number
601-926-1161
Lindwood, NJ 08221Get directions →

Provider Business Mailing Address Details

Address
601 New RD
Lindwood, NJ 08221-1251
City
Lindwood
State
NJ
Zip
08221-1251
Phone Number
609-926-1161
Fax Number
609-926-3223

License Information

License Number (1)
40QB00121000
License State (1)
NJ
Taxonomy (1)
Physical Therapist, Sports · 2251S0007X
License Number (2)
40QB00121000
License State (2)
NJ
Taxonomy (2)
Physical Therapist, Orthopedic · 2251X0800X · Primary
License Number (3)
40QB00121000
License State (3)
NJ
Taxonomy (3)
Physical Therapy Assistant · 225200000X

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 Mrs. Connie L Kelly, PTA?

The NPI number of Mrs. Connie L Kelly, PTA is 1578528741. It was assigned on April 19, 2006 and is currently active in the NPPES registry.

What is the specialty of Mrs. Connie L Kelly, PTA?

Mrs. Connie L Kelly, PTA is registered under the primary taxonomy Physical Therapist, Orthopedic (code 2251X0800X), licensed in NJ under license number 40QB00121000.

Where does Mrs. Connie L Kelly, PTA practice?

The practice location is 601 New RD, Lindwood, NJ 08221-1251. The office can be reached at 609-926-1161 (phone) or 601-926-1161 (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 1578528741 directly on the NPPES registry website.

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