SHANNON KELLY
NPI 1366398323
Physical Therapist in Freehold, NJ
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
Specialties & Licenses
- 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.
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).
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.
FREEHOLD, NJ 07728
FREEHOLD, NJ 07728
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.