Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. JUSTIN T KELLY, PT, DPT
DeactivatedMR. JUSTIN T KELLY, PT, DPT is a Physical Therapy Assistant healthcare provider located in LAS CRUCES, New Mexico. NPI 1548737091 is deactivated in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · LAS CRUCES, NM
This NPI has been deactivated.
The record was deactivated on November 1, 2018.
Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated.
Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.
Registration Details
- NPI Number
- 1548737091
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 1, 2018
- Last Updated
- Nov 16, 2018
- Deactivated
- Nov 1, 2018
- License
-
PT5375 (NM)
Practice Information
- Address
-
2404 S LOCUST ST STE 5LAS CRUCES, NM, 880015789Browse NM providers · Browse ZIP 88001
- Phone
- 5755214188
- Fax
- 5755213668
- Primary Specialty
-
Physical Therapy Assistant
225100000X
Other Physical Therapy Assistant Providers in LAS CRUCES, NM
| Name | Credential | NPI |
|---|---|---|
| DENNIS L PRICKETT | PT | 1336142744 |
| PATTI A. CARRILLO | P.T. | 1669476222 |
| MR. MONTY BARRY | PT | 1295736312 |
| NICOLE NOVOTNY | PT | 1801884416 |
| MR. RYAN BYBEE | MPT | 1205806031 |
| MRS. BRIDGET A. SCHOLLJEGERDES | P.T. | 1871562785 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.