MR. ANDREW EDWARD KELLY (P.T.) – Physical Therapist, NPI 1871593004

MR. ANDREW EDWARD KELLY (P.T.) is a healthcare provider. based in San rafael, California. specializing in Physical Therapist. They hold the professional credentials P.T.. They hold a License No. 15707 (CA). The NPI Number for MR. ANDREW EDWARD KELLY (P.T.) is 1871593004

Main info

Male
38 Years Of Experience
Accepts Medicare Assignment
Name
MR. ANDREW EDWARD KELLY (P.T.)
NPI
1871593004
Phone
(415) 499-0278
Address
165 N REDWOOD DR
Enumeration Date
29 July 2005
Last Update Date
11 July 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4154990278
Graduation Year
1988 (38 years ago)
PAC ID
7618886433
Group Practice PAC ID
2466419189
Professional Enrollment ID
I20041215000240
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for MR. ANDREW EDWARD KELLY (P.T.)

  • 165, North Redwood Drive, Las Gallinas, San Rafael, Marin County, California, 94903, United States

    SAN RAFAEL, CA 949031970

    Phone: (415) 499-0278

    Fax: (415) 499-0297

    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.

No Medicare enrollment or revalidation data available for this provider in our database.

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 94903)

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Provider's Procedures

MR. ANDREW EDWARD KELLY (P.T.) performs procedures in Physical Therapist. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PHYSICAL THERAPYCA97001Physical therapy evaluation183168
PHYSICAL THERAPYCA97110Therapeutic exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes1798183
PHYSICAL THERAPYCA97140Manual (physical) therapy techniques to 1 or more regions, each 15 minutes38190
PHYSICAL THERAPYCA97535Self-care or home management training, each 15 minutes270153

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: 2466419189View full group profile
NameSpecialtyState
-CA

Reviews

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Frequently asked questions

What is MR. ANDREW EDWARD KELLY (P.T.)'s NPI number?
MR. ANDREW EDWARD KELLY (P.T.)'s NPI is 1871593004 — the number used across U.S. healthcare to identify this provider.
Is there an active status for MR. ANDREW EDWARD KELLY (P.T.)?
For scheduling context, MR. ANDREW EDWARD KELLY (P.T.) is shown as active in the registry.
What area of care is associated with MR. ANDREW EDWARD KELLY (P.T.)?
MR. ANDREW EDWARD KELLY (P.T.)'s record emphasizes Physical Therapist. Clinical services aligned with this taxonomy classification.
Where in California is MR. ANDREW EDWARD KELLY (P.T.) registered?
Use San Rafael, California as the headline location for MR. ANDREW EDWARD KELLY (P.T.) here.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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