Active NPIIndividual provider

Mr. Matthew Kelly, PTA

Physical Therapy Assistant in Bayville, New Jersey

NPI Number1891025003
Practice location
340 Route 9, Bayville, NJ 08721-1255
Fax
—
Last updated
October 18, 2011

Matthew Kelly is a Physical Therapy Assistant based in Bayville, NJ. Matthew Kelly practices in Bayville, NJ and has the professional credentials of PTA. The NPI Number for Matthew Kelly is 1891025003 and holds a License No. 40QB00269200 (NJ). The current practice location address for Matthew Kelly is 340 Route 9, Bayville, NJ 08721-1255 and can be reached out via phone at 732-237-7100.

Provider Profile Details

NPI Number
1891025003
Provider Name
Matthew Kelly
Credential
PTA
Provider Entity Type
Individual
Gender
Male
Address
340 Route 9, Bayville, NJ 08721-1255
Phone Number
732-237-7100
Primary Taxonomy
Physical Therapy Assistant · 225200000X
Sole Proprietor
No
Provider Enumeration Date
January 11, 2010
Last Update Date
October 18, 2011
NPI Status
Active

Provider Business Practice Location Address Details

Address
340 Route 9
Bayville, NJ 08721-1255
Zip
08721-1255
Phone Number
732-237-7100
Bayville, NJ 08721Get directions →

Provider Business Mailing Address Details

Address
1005 14TH Ave
Belmar, NJ 07719-2808
City
Belmar
State
NJ
Zip
07719-2808
Phone Number
908-601-1125

License Information

License Number
40QB00269200
License State
NJ
Taxonomy
Physical Therapy Assistant · 225200000X · 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 Mr. Matthew Kelly, PTA?

The NPI number of Mr. Matthew Kelly, PTA is 1891025003. It was assigned on January 11, 2010 and is currently active in the NPPES registry.

What is the specialty of Mr. Matthew Kelly, PTA?

Mr. Matthew Kelly, PTA is registered under the primary taxonomy Physical Therapy Assistant (code 225200000X), licensed in NJ under license number 40QB00269200.

Where does Mr. Matthew Kelly, PTA practice?

The practice location is 340 Route 9, Bayville, NJ 08721-1255. The office can be reached at 732-237-7100 (phone).

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 1891025003 directly on the NPPES registry website.

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