SHANNON KELLY
NPI 1366398323
Physical Therapist in Freehold, NJ

Active since March 10, 2026
1050 W MAIN ST, FREEHOLD, NJ 07728(732) 475-4959 Get Directions Write a Review

NPPES record last updated: March 10, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Shannon Kelly NPPES

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

SHANNON KELLY (NPI 1366398323) is an individual physical therapist in Freehold, New Jersey, licensed in New Jersey (40QA02201800) and active in the NPI registry since March 2026. She is a graduate of Columbia University College Of Physicians And Surgeons (2023).

NPPES Registry Identity

NPI1366398323
Entity TypeIndividualFemale
Primary Taxonomy225100000X
Provider Legal NameSHANNON KELLY
Location Address1050 W MAIN STFreehold, NJ 07728-2509
Mailing Address1050 W Main StFreehold, NJ 07728-2509 · (732) 475-4959
Sole ProprietorNo
Medical School CMSColumbia University College Of Physicians And SurgeonsGraduated 2023
Enumeration DateMarch 10, 2026
NPPES CertifiedMarch 10, 2026
NPI 1366398323 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
License Licensed in NJ · 40QA02201800
Definition
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:
  • Diagnose and manage movement dysfunction and enhance physical and functional abilities.
  • Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
  • Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
  • Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
  • Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.
1050 W MAIN ST, Freehold, NJ 07728

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Shannon Kelly is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9537638168
PECOS Enrollment IDI20260513001905

Other Providers at the Same Location NPPES 7

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

Occupational Therapist
1050 W MAIN ST
FREEHOLD, NJ 07728
Physical Therapist
1050 W MAIN ST
FREEHOLD, NJ 07728
Otolaryngology (Otolaryngology/Facial Plastic Surgery)
1050 W MAIN ST
FREEHOLD, NJ 07728
Occupational Therapist
1050 W MAIN ST
FREEHOLD, NJ 07728
Otolaryngology (Otolaryngology/Facial Plastic Surgery)
1050 W MAIN ST
FREEHOLD, NJ 07728
Chiropractor
1050 W MAIN ST
FREEHOLD, NJ 07728
Physical Medicine & Rehabilitation
1050 W MAIN ST
FREEHOLD, NJ 07728

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 Shannon Kelly's NPI number?

The NPI number for Shannon Kelly is 1366398323. It was assigned to this individual provider in the NPPES registry on March 10, 2026.

Where is Shannon Kelly located?

Shannon Kelly practices at 1050 W Main St, Freehold, NJ 07728. The listed phone number is (732) 475-4959.

What is Shannon Kelly's specialty?

The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.

Is Shannon Kelly enrolled in Medicare?

Yes. Shannon Kelly is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Shannon Kelly was last updated on March 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.