ALYSSA KELLY – Physical Therapist, NPI 1740793264

ALYSSA KELLY is a healthcare provider. based in Jacksonville, Florida. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold a License No. PT33152 (FL). The NPI Number for ALYSSA KELLY is 1740793264

Main info

Female
9 Years Of Experience
Accepts Medicare Assignment
Name
ALYSSA KELLY
NPI
1740793264
Phone
(904) 345-7600
Address
3599 UNIVERSITY BLVD S
Enumeration Date
6 November 2017
Last Update Date
6 November 2017

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9046447722
Graduation Year
2017 (9 years ago)
PAC ID
0143578971
Group Practice PAC ID
7416384763
Professional Enrollment ID
I20180809005364
Address ID
FL320687778MI2219XRDXX301
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:8State licenses:1Digital endpointsOther names

4,633 PHYSICAL THERAPIST IN PRIVATE PRACTICE in FL

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Provider Addresses for ALYSSA KELLY

  • Brooks Rehabilitation Hospital, 3599, University Boulevard South, Englewood, Jacksonville, Duval County, Florida, 32216, United States

    JACKSONVILLE, FL 322164252

    Phone: (904) 345-7600

    Type: Location

  • 13444 GRAN BAY PKWY APT 523

    JACKSONVILLE, FL 322587421

    Phone: (914) 907-0632

    Type: Mailing

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: 2018-08-09

PECOS data refreshed: 2026-05-27

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
I20180809005364IPhysical Therapist In Private PracticeFLTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes2,109127$0
97530Therapy procedure using functional activities1,597119$0
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes97791$0
97161Evaluation for physical therapy, typically 20 minutes5949$0
97750Test or measurement for functional capacity, each 15 minutes2618$0
View full utilization report →

Insurance plans in this area (ZIP 32216)

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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: 7416384763View full group profile
NameSpecialtyState
Occupational Therapist In Private PracticeFL
Physical Therapist In Private PracticeFL
Physical Therapist In Private PracticeFL
Physical Therapist In Private PracticeFL
Occupational Therapist In Private PracticeFL
Occupational Therapist In Private PracticeFL
Physical Therapist In Private PracticeFL
Physical Therapist In Private PracticeFL
Physical Therapist In Private PracticeFL
Physical Therapist In Private PracticeFL

Reviews

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Frequently asked questions

What number should I use to identify ALYSSA KELLY for billing?
Administrative and clinical systems typically use NPI 1740793264 for ALYSSA KELLY.
Does the public listing show ALYSSA KELLY as active?
ALYSSA KELLY's NPI record reflects an active status in NPPES.
What type of care does ALYSSA KELLY provide?
ALYSSA KELLY's profile centers on Physical Therapist. Clinical services aligned with this taxonomy classification.
Is ALYSSA KELLY tied to Jacksonville, Florida?
If you are local to Jacksonville, Florida, ALYSSA KELLY may be relevant to your search.
Can I export ALYSSA KELLY's record?
You can download the official NPPES record; we summarize key fields for readability.

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