DR. FELICIA LYNETTE KELLEY (PT, DPT) – Physical Therapist, NPI 1871478081

DR. FELICIA LYNETTE KELLEY (PT, DPT) is a healthcare provider. based in Los alamitos, California. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PT, DPT. The NPI Number for DR. FELICIA LYNETTE KELLEY (PT, DPT) is 1871478081

Main info

Female
1 Year Of Experience
Accepts Medicare Assignment
Name
DR. FELICIA LYNETTE KELLEY (PT, DPT)
NPI
1871478081
Phone
(562) 342-9994
Address
4220 KATELLA AVE
Enumeration Date
7 August 2025
Last Update Date
7 August 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9099858686
Graduation Year
2025 (1 year ago)
PAC ID
3779084397
Group Practice PAC ID
9830268432
Professional Enrollment ID
I20250827000918
Address ID
CA917863784UP846XXBLVD401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience15
Completeness85
Years active:0State licenses:0Digital endpointsOther names

9,522 PHYSICAL THERAPIST IN PRIVATE PRACTICE in CA

Provider Addresses for DR. FELICIA LYNETTE KELLEY (PT, DPT)

  • 4220 KATELLA AVE

    LOS ALAMITOS, CA 907203511

    Phone: (562) 342-9994

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-08-27

PECOS data refreshed: 2026-06-15

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20250827000918IPhysical Therapist In Private PracticeCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 90720)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9830268432View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeCA
Physical Therapist In Private PracticeCA
Physical Therapist In Private PracticeCA
Physical Therapist In Private PracticeNY
Physical Therapist In Private PracticeCA
Physical Therapist In Private PracticeFL
Physical Therapist In Private PracticeCA
Physical Therapist In Private PracticeCA
-CA

Reviews

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Frequently asked questions

How do payers reference DR. FELICIA LYNETTE KELLEY (PT, DPT)?
For DR. FELICIA LYNETTE KELLEY (PT, DPT), use NPI 1871478081 as the unique 10-digit identifier.
Active or inactive — what applies to DR. FELICIA LYNETTE KELLEY (PT, DPT)?
You should see DR. FELICIA LYNETTE KELLEY (PT, DPT) as active in CMS-hosted NPPES data.
What clinical focus is listed for DR. FELICIA LYNETTE KELLEY (PT, DPT)?
At a glance, DR. FELICIA LYNETTE KELLEY (PT, DPT) is tied to Physical Therapist. Clinical services aligned with this taxonomy classification.
Where in California is DR. FELICIA LYNETTE KELLEY (PT, DPT) registered?
Use Los Alamitos, California as the headline location for DR. FELICIA LYNETTE KELLEY (PT, DPT) here.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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