DR. GLEN DAVID KELLEY MD
NPI 1679860019
Physical Medicine & Rehabilitation in Littleton, CO

Active since July 06, 2011PECOS Enrolled
1001 W MINERAL AVE, LITTLETON, CO 80120(303) 334-1100(817) 284-3425 Get Directions Write a Review

NPPES record last updated: November 1, 2014. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Glen David Kelley Md NPPES

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

DR. GLEN DAVID KELLEY MD (NPI 1679860019) is an individual physical medicine & rehabilitation provider in Littleton, Colorado, licensed in Colorado (37410) and active in the NPI registry since July 2011. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1679860019
Entity TypeIndividualMale
Primary Taxonomy208100000X
Provider Legal NameDR. GLEN DAVID KELLEYCredential: MD
Location Address1001 W MINERAL AVELittleton, CO 80120-4507
Mailing AddressPo Box 678504Dallas, TX 75267-8504 · (303) 349-0935 · Fax (817) 284-3425
Fax(817) 284-3425
Sole ProprietorYes
Enumeration DateJuly 6, 2011
Last NPPES UpdateNovember 1, 2014
✔ NPI 1679860019 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical Medicine & RehabilitationAllopathic & Osteopathic Physicians
Taxonomy Code208100000X
License✔ Licensed in CO · 37410
Definition
Physical medicine and rehabilitation, also referred to as rehabilitation medicine, is the medical specialty concerned with diagnosing, evaluating, and treating patients with physical disabilities. These disabilities may arise from conditions affecting the musculoskeletal system such as neck and back pain, sports injuries, or other painful conditions affecting the limbs, such as carpal tunnel syndrome. Alternatively, the disabilities may result from neurological trauma or disease such as spinal cord injury, head injury or stroke. A physician certified in physical medicine and rehabilitation is often called a physiatrist. The primary goal of the physiatrist is to achieve maximal restoration of physical, psychological, social and vocational function through comprehensive rehabilitation. Pain management is often an important part of the role of the physiatrist. For diagnosis and evaluation, a physiatrist may include the techniques of electromyography to supplement the standard history, physical, x-ray and laboratory examinations. The physiatrist has expertise in the appropriate use of therapeutic exercise, prosthetics (artificial limbs), orthotics and mechanical and electrical devices.
1001 W MINERAL AVE, Littleton, CO 80120

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Glen David Kelley Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Glen Kelley reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Undersea and Hyperbaric Medicine
11600 W 2ND PL
Lakewood, CO 80228
  • Reassigned Medicare billing, Colorado enrollment
  • 51 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 13

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

Pharmacist
1001 W MINERAL AVE
LITTLETON, CO 80120
Physical Medicine & Rehabilitation
1001 W MINERAL AVE
LITTLETON, CO 80120
Physical Medicine & Rehabilitation
1001 W MINERAL AVE
LITTLETON, CO 80120
Occupational Therapist
1001 W MINERAL AVE
LITTLETON, CO 80120
Physical Medicine & Rehabilitation
1001 W MINERAL AVE
LITTLETON, CO 80120
Physical Medicine & Rehabilitation
1001 W MINERAL AVE
LITTLETON, CO 80120
Physical Medicine & Rehabilitation
1001 W MINERAL AVE
LITTLETON, CO 80120
Psychiatry & Neurology (Neurology)
1001 W MINERAL AVE
LITTLETON, CO 80120

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 Glen Kelley's NPI number?

The NPI number for Glen Kelley is 1679860019. It was assigned to this individual provider in the NPPES registry on July 6, 2011.

Where is Glen Kelley located?

Glen Kelley practices at 1001 W Mineral Ave, Littleton, CO 80120. The listed phone number is (303) 334-1100.

What is Glen Kelley's specialty?

The primary specialty registered for this NPI is Physical Medicine & Rehabilitation with taxonomy code 208100000X.

Is Glen Kelley enrolled in Medicare?

Yes. Glen Kelley is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Glen Kelley's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Glen Kelley reassigns Medicare benefits to Healogics Specialty Physicians Of Colorado-Professional, LLC (Lakewood, CO). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Glen Kelley's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Glen Kelley was last updated on November 1, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.