MR. MICHAEL R KELLY (PT) – Orthopedic Physical Therapist, NPI 1710105358

MR. MICHAEL R KELLY (PT) is a healthcare provider. based in Seattle, Washington. specializing in Orthopedic Physical Therapist. They hold the professional credentials PT. They hold a License No. PT00008940 (WA). The NPI Number for MR. MICHAEL R KELLY (PT) is 1710105358

Main info

Male
24 Years Of Experience
Accepts Medicare Assignment
Name
MR. MICHAEL R KELLY (PT)
NPI
1710105358
Phone
(206) 320-2404
Address
1600 E. Jefferson St.
Enumeration Date
20 April 2007
Last Update Date
9 May 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2063203900
Graduation Year
2002 (24 years ago)
PAC ID
1456524982
Group Practice PAC ID
0244138196
Professional Enrollment ID
I20111028000501
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience67
Completeness75
Years active:19State licenses:1Digital endpointsOther names

Provider Addresses for MR. MICHAEL R KELLY (PT)

  • 1600 E. Jefferson St.

    Seattle, WA 98122

    Phone: (206) 320-2404

    Fax: (206) 320-4747

    Type: Location

  • 23715 51ST AVE S

    KENT, WA 98032

    Phone: (253) 852-2482

    Type: Mailing

  • 1600 E. JEFFERSON ST.

    SEATTLE, WA 98122

    Phone: (206) 320-2404

    Fax: (206) 320-4747

    Type: Location

  • 400 S 43RD ST

    RENTON, WA 980555714

    Phone: (425) 690-3650

    Fax: (425) 690-9650

    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.

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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 98122)

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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: 0244138196View full group profile
NameSpecialtyState
-WA
General SurgeryWA
Orthopedic SurgeryWA
P S Y C H I A T R YWA
Hospitalist, Hospice/Palliative Care, Internal MedicineWA
Hospitalist, Hospice/Palliative CareWA
Physician AssistantWA
N E U R O L O G YWA
N E U R O L O G YWA
Hospitalist, Hospice/Palliative Care, Internal MedicineND

Reviews

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Frequently asked questions

Is there an official ID for MR. MICHAEL R KELLY (PT) in U.S. healthcare records?
The official identifier for MR. MICHAEL R KELLY (PT) is NPI 1710105358.
Would MR. MICHAEL R KELLY (PT) appear as active to a payer?
You can treat MR. MICHAEL R KELLY (PT) as active for directory purposes; confirm clinical privileges separately.
What kind of doctor is MR. MICHAEL R KELLY (PT)?
MR. MICHAEL R KELLY (PT) is associated with Orthopedic Physical Therapist in the directory — Clinical services aligned with this taxonomy classification.
What practice footprint exists for MR. MICHAEL R KELLY (PT)?
Travel planning: use Seattle, Washington as the reference point for MR. MICHAEL R KELLY (PT), then confirm.
What does 5 location(s) imply?
5 practice locations appear in the available data.

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