SEAN KELLY – Physical Therapist, NPI 1144798620

SEAN KELLY is a healthcare provider. based in Las vegas, Nevada. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold a License No. 3554 (NV). The NPI Number for SEAN KELLY is 1144798620

Main info

Male
10 Years Of Experience
Accepts Medicare Assignment
Name
SEAN KELLY
NPI
1144798620
Phone
(702) 982-2232
Address
8751 W CHARLESTON BLVD STE 270
Enumeration Date
2 November 2018
Last Update Date
2 November 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7028761733
Graduation Year
2016 (10 years ago)
PAC ID
2668716374
Group Practice PAC ID
7012980550
Professional Enrollment ID
I20181206003459
Address ID
NV891021859LA3831XBLVD400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:7State licenses:1Digital endpointsOther names

880 PHYSICAL THERAPIST IN PRIVATE PRACTICE in NV

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Provider Addresses for SEAN KELLY

  • West Charleston Boulevard, 18b Arts District, Las Vegas, Clark County, Nevada, 89104-1307, United States

    LAS VEGAS, NV 891175497

    Phone: (702) 982-2232

    Fax: (702) 982-2237

    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: 2018-12-06

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
I20181206003459IPhysical Therapist In Private PracticeNVTBD

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 minutes55579$0
97530Therapy procedure using functional activities40157$0
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes33266$0
97140Therapy procedure using manual technique, each 15 minutes32957$0
97113Therapy procedure using water pool to exercises, each 15 minutes22719$0
View full utilization report →

Insurance plans in this area (ZIP 89117)

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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: 7012980550View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeWA
Physical Therapist In Private PracticeNV
Physical Therapist In Private PracticeNV
Physical Therapist In Private PracticePA
Physical Therapist In Private PracticeNV
Physical Therapist In Private PracticeCA
-NV
Physical Therapist In Private PracticeNV
Physical Therapist In Private PracticeNV
Physical Therapist In Private PracticeNV

Reviews

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Frequently asked questions

Can I cross-check SEAN KELLY using NPI 1144798620?
NPI 1144798620 belongs to SEAN KELLY; compare other details if you need extra assurance.
Is SEAN KELLY shown as active in public data?
Registry records indicate SEAN KELLY maintains an active NPI.
How would a patient describe SEAN KELLY's focus?
For SEAN KELLY, the primary taxonomy reads as Physical Therapist. Clinical services aligned with this taxonomy classification.
What locale is associated with SEAN KELLY?
Directory geography for SEAN KELLY centers on Las Vegas, Nevada.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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