MARK J KELLY MT, AP, BA
NPI 1124901020
Massage Therapist in Long Beach, CA

Q: What is Mark Kelly's NPI number?

The NPI number for Mark Kelly is 1124901020. It was assigned to this individual provider in the NPPES registry on July 28, 2025.

Q: What is Mark Kelly's specialty?

The primary specialty registered for this NPI is Massage Therapist with taxonomy code 225700000X.

Q: When was this NPI record last updated?

The NPPES record for Mark Kelly was last updated on July 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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 July 28, 2025

3490 LINDEN AVE STE 3, LONG BEACH, CA 90807(323) 229-2930 Get Directions Write a Review

NPPES record last updated: July 28, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Mark J Kelly Mt, Ap, Ba NPPES

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

MARK J KELLY MT, AP, BA (NPI 1124901020) is an individual massage therapist in Long Beach, California, licensed in California (98554) and active in the NPI registry since July 2025.

NPPES Registry Identity

NPI1124901020

Entity TypeIndividualMale

Primary Taxonomy225700000X

Provider Legal NameMARK J KELLYCredential: MT, AP, BA

Location Address3490 LINDEN AVE STE 3Long Beach, CA 90807-4559

Mailing Address255 Newport AveLong Beach, CA 90803-5922 · (562) 619-0327

Phone(323) 229-2930

Sole ProprietorNo

Enumeration DateJuly 28, 2025

NPPES CertifiedJuly 28, 2025

✔ NPI 1124901020 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy Code225700000X

License✔ Licensed in CA · 98554

Definition

An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.

3490 LINDEN AVE STE 3, Long Beach, CA 90807

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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PENNY TYLER

Massage Therapist

3490 LINDEN AVE STE 3
LONG BEACH, CA 90807

Los Angeles County (310) 766-3999

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 Mark Kelly's NPI number?

The NPI number for Mark Kelly is 1124901020. It was assigned to this individual provider in the NPPES registry on July 28, 2025.

Where is Mark Kelly located?

Mark Kelly practices at 3490 Linden Ave Ste 3, Long Beach, CA 90807. The listed phone number is (323) 229-2930.

What is Mark Kelly's specialty?

The primary specialty registered for this NPI is Massage Therapist with taxonomy code 225700000X.

When was this NPI record last updated?

The NPPES record for Mark Kelly was last updated on July 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.