KELLY LYNN MAHONEY MPT
NPI 1104124544
Physical Therapist - Orthopedic in Redondo Beach, CA

Q: What is Kelly Mahoney's NPI number?

The NPI number for Kelly Mahoney is 1104124544. It was assigned to this individual provider in the NPPES registry on March 9, 2011.

Q: What is Kelly Mahoney's specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Orthopedic, with taxonomy code 2251X0800X.

Q: When was this NPI record last updated?

The NPPES record for Kelly Mahoney was last updated on March 9, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since March 09, 2011

2108 HUNTINGTON LN # A, REDONDO BEACH, CA 90278(310) 372-3292 Get Directions Write a Review

NPPES record last updated: March 9, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Kelly Lynn Mahoney Mpt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KELLY LYNN MAHONEY MPT (NPI 1104124544) is an individual orthopedic provider in Redondo Beach, California, licensed in California (PT21213) and active in the NPI registry since March 2011.

NPPES Registry Identity

NPI1104124544

Entity TypeIndividualFemale

Primary Taxonomy2251X0800X

Provider Legal NameKELLY LYNN MAHONEYCredential: MPT

Location Address2108 HUNTINGTON LN # ARedondo Beach, CA 90278-4309

Mailing Address2108 Huntington Ln # ARedondo Beach, CA 90278-4309 · (310) 372-3292

Phone(310) 372-3292

Sole ProprietorYes

Enumeration DateMarch 9, 2011

✔ NPI 1104124544 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical Therapist · OrthopedicRespiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy Code2251X0800X

License✔ Licensed in CA · PT21213

Definition

A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Orthopaedic Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science; pathology/pathophysiology, pain science, medical and surgical considerations, orthopaedic physical therapy theory and practice, and critical inquiry for evidence-based practice.

2108 HUNTINGTON LN # A, Redondo Beach, CA 90278

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Other Identifiers 1

OtherPT21213CA · Pt License

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kelly Mahoney's NPI number?

The NPI number for Kelly Mahoney is 1104124544. It was assigned to this individual provider in the NPPES registry on March 9, 2011.

Where is Kelly Mahoney located?

Kelly Mahoney practices at 2108 Huntington Ln # A, Redondo Beach, CA 90278. The listed phone number is (310) 372-3292.

What is Kelly Mahoney's specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Orthopedic, with taxonomy code 2251X0800X.

When was this NPI record last updated?

The NPPES record for Kelly Mahoney was last updated on March 9, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.