MR. MICHAEL R KELLY PT
NPI 1710105358
Physical Therapist - Orthopedic in Renton, WA

Q: What is Michael Kelly's NPI number?

The NPI number for Michael Kelly is 1710105358. It was assigned to this individual provider in the NPPES registry on April 20, 2007.

Q: What is Michael Kelly'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 Michael Kelly was last updated on May 9, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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 April 20, 2007

400 S 43RD ST, RENTON, WA 98055(425) 690-3650(425) 690-9650 Get Directions Write a Review

NPPES record last updated: May 9, 2023. Verified against the NPPES registry weekly; last sync: August 23, 2026.

On this page

About Mr. Michael R Kelly Pt NPPES

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

MR. MICHAEL R KELLY PT (NPI 1710105358) is an individual orthopedic provider in Renton, Washington, licensed in Washington (PT00008940) and active in the NPI registry since April 2007. He maintains a secondary practice location in Seattle.

NPPES Registry Identity

NPI1710105358

Entity TypeIndividualMale

Primary Taxonomy2251X0800X

Provider Legal NameMR. MICHAEL R KELLYCredential: PT

Location Address400 S 43RD STRenton, WA 98055-5714

Mailing Address400 S 43rd StRenton, WA 98055-5714 · (425) 690-3650 · Fax (425) 690-9650

Phone(425) 690-3650

Fax(425) 690-9650

Sole ProprietorNo

Enumeration DateApril 20, 2007

Last NPPES UpdateMay 9, 2023

NPPES CertifiedMay 9, 2023

✔ NPI 1710105358 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

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

Taxonomy Code2251X0800X

License✔ Licensed in WA · PT00008940

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.

Also ListedPhysical TherapistTaxonomy 225100000X · License PT00008940 (WA)

400 S 43RD ST, Renton, WA 98055

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Secondary Practice Location 1

Location 11600 E. Jefferson St.Seattle, WA 98122 · Phone (206) 320-2404 · Fax (206) 320-4747

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include PacificSource Health Plans.Insurance ›

Other Providers at the Same Location NPPES 20

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

CATHERINE A MICKELSON SLP

Speech-Language Pathologist

400 S 43RD ST
RENTON, WA 98055

King County (425) 251-5165

IRENE A BRYANT PT

Physical Therapist

400 S 43RD ST
RENTON, WA 98055

King County (425) 251-5165

JEFFREY C THOMPSON MD

Internal Medicine

400 S 43RD ST, RM 3H-1-053
RENTON, WA 98055

King County (425) 228-3440

AARON TZUPENG FANG M.D.

Hospitalist

400 S 43RD ST
RENTON, WA 98055

King County (425) 228-3440

DR. TORY JOHN OLSEN MD

Student in an Organized Health Care Education/Training Program

400 S 43RD ST
RENTON, WA 98055

King County (425) 656-4224

ANNE B VILLARI PT

Physical Therapist

400 S 43RD ST
RENTON, WA 98055

King County (425) 251-5165

DAN LAM RPH

Pharmacist

400 S 43RD ST
RENTON, WA 98055

King County (425) 251-5164

ANNA L SAMSON STEIN MD

Hospitalist

400 S 43RD ST
RENTON, WA 98055

King County (425) 228-3440

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 Michael Kelly's NPI number?

The NPI number for Michael Kelly is 1710105358. It was assigned to this individual provider in the NPPES registry on April 20, 2007.

Where is Michael Kelly located?

Michael Kelly practices at 400 S 43rd St, Renton, WA 98055. The listed phone number is (425) 690-3650.

What is Michael Kelly's specialty?

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

What insurance does Michael Kelly accept?

Health plans from PacificSource Health Plans list Michael Kelly as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Michael Kelly was last updated on May 9, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.