EMILY KELLY – Physical Therapist, NPI 1417124645

EMILY KELLY is a healthcare provider. based in Philadelphia, Pennsylvania. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold a License No. PT019366 (PA). The NPI Number for EMILY KELLY is 1417124645

Main info

Female
18 Years Of Experience
Accepts Medicare Assignment
Name
EMILY KELLY
NPI
1417124645
Phone
(215) 629-3837
Address
420 BAINBRIDGE ST
Enumeration Date
16 May 2008
Last Update Date
9 February 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6105810111
Graduation Year
2008 (18 years ago)
PAC ID
5991879926
Group Practice PAC ID
1951439694
Professional Enrollment ID
I20080808000249
Address ID
PA190102516BR864XXRDXX400

Contacts

Main Contact
Ardmore
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience60
Completeness85
Years active:18State licenses:1Other namesUpdated within 12 months

4,258 PHYSICAL THERAPIST IN PRIVATE PRACTICE in PA

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Provider Addresses for EMILY KELLY

  • 420, Bainbridge Street, Block Group 1, Philadelphia, PA, South Philadelphia, Philadelphia, Philadelphia County, Pennsylvania, 19147, United States

    PHILADELPHIA, PA 191471568

    Phone: (215) 629-3837

    Fax: (215) 629-5531

    Type: Mailing

  • 734, East Lancaster Avenue, Villanova, Radnor, Radnor Township, Delaware County, Pennsylvania, 19085, United States

    VILLANOVA, PA 190851325

    Phone: (610) 964-1700

    Fax: (610) 688-2000

    Type: Location

  • 734 E Lancaster Ave

    Villanova, PA 190851325

    Phone: (610) 964-1700

    Fax: (610) 688-2000

    Type: Location

  • 120 E LANCASTER AVE STE 205

    ARDMORE, PA 190033209

    Phone: (484) 297-6491

    Type: Location

  • 475 ALLENDALE RD STE 206

    KING OF PRUSSIA, PA 194061495

    Phone: (610) 270-0370

    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: 2008-08-08

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
I20080808000249IPhysical Therapist In Private PracticePATBD

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
97140Therapy procedure using manual technique, each 15 minutes1,44890$0
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes1,27696$0
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes75895$0
97162Evaluation for physical therapy, typically 30 minutes3128$0
97161Evaluation for physical therapy, typically 20 minutes2929$0
View full utilization report →

Insurance plans in this area (ZIP 19147)

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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: 1951439694View full group profile
NameSpecialtyState
Physical Therapist In Private PracticePA
-PA
Physical Therapist In Private PracticePA
Physical Therapist In Private PracticePA
-PA
Physical Therapist In Private PracticePA
Physical Therapist In Private PracticePA
-PA
Physical Therapist In Private PracticePA
Physical Therapist In Private PracticeMD

Reviews

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Frequently asked questions

How is EMILY KELLY identified in CMS data?
CMS-hosted NPPES data lists EMILY KELLY with NPI 1417124645.
Can I rely on EMILY KELLY being an active provider?
As of the registry snapshot, EMILY KELLY is marked active.
What is EMILY KELLY's primary classification?
Physical Therapist is the headline specialty for EMILY KELLY here. Clinical services aligned with this taxonomy classification.
Where should I expect EMILY KELLY on a map?
Expect Philadelphia, Pennsylvania as a primary anchor for EMILY KELLY unless the record lists multiple sites.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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