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KELLY DECKER CTRS
NPI 1861191066
Recreation Therapist in Philadelphia, PA

Active since February 27, 2023
3461 CIVIC CENTER BLVD, PHILADELPHIA, PA 19104(215) 823-4507 Get Directions Write a Review

NPPES record last updated: May 16, 2023. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: May 16, 2023, Feb 27, 2023 (2 updates tracked since 2023).

About Kelly Decker Ctrs NPPES

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

KELLY DECKER CTRS (NPI 1861191066) is an individual recreation therapist in Philadelphia, Pennsylvania and active in the NPI registry since February 2023.

NPPES Registry Identity

NPI1861191066
Entity TypeIndividualFemale
Primary Taxonomy225800000X
Provider Legal NameKELLY DECKERCredential: CTRS
Location Address3461 CIVIC CENTER BLVDPhiladelphia, PA 19104-4302
Mailing Address2701 W Girard Ave Apt 6Philadelphia, PA 19130-1251 · (412) 715-8316
Phone(215) 823-4507
Sole ProprietorNo
Enumeration DateFebruary 27, 2023
Last NPPES UpdateMay 16, 20232 updates tracked since enumeration
NPPES CertifiedMay 16, 2023
✔ NPI 1861191066 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRecreation TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225800000X
Definition
A recreation therapist uses recreational activities for intervention in some physical, social or emotional behavior to bring about a desired change in that behavior and promote the growth and development of the patient.
3461 CIVIC CENTER BLVD, Philadelphia, PA 19104
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Other Providers at the Same Location NPPES 11

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

MR. DANIEL BREEZE GERSON CGP
Pharmacist
3461 CIVIC CENTER BLVD
PHILADELPHIA, PA 19104
Philadelphia County (215) 823-4509
MS. ERNESTINE BETH STEINER NP
Nurse Practitioner (Gerontology)
3461 CIVIC CENTER BLVD, COMMUNITY LIVING CENTER
PHILADELPHIA, PA 19104
Philadelphia County (215) 823-4526
KATHLEEN JEAN KIRK CRNP
Nurse Practitioner (Gerontology)
3461 CIVIC CENTER BLVD
PHILADELPHIA, PA 19104
Philadelphia County (215) 823-4528
MRS. VALERIE LYNN STELLA-BAHNER CRNP
Nurse Practitioner (Adult Health)
3461 CIVIC CENTER BLVD, NURSING HOME CARE UNIT
PHILADELPHIA, PA 19104
Philadelphia County (215) 823-4500
MISS ANN MARIE FARRELL CRNP
Nurse Practitioner (Adult Health)
3461 CIVIC CENTER BLVD
PHILA, PA 19104
Philadelphia County (215) 823-5800
JULIA DANIELLE MERIDETH
Occupational Therapy Assistant
3461 CIVIC CENTER BLVD
PHILADELPHIA, PA 19104
Philadelphia County (251) 823-5800
MRS. DARLENE MARY PIDGEON CRNP
Nurse Practitioner
3461 CIVIC CENTER BLVD
PHILADELPHIA, PA 19104
Philadelphia County (215) 823-4513
MICHELLE AMBER PETERSON CTRS
Recreation Therapist
3461 CIVIC CENTER BLVD
PHILADELPHIA, PA 19104
Philadelphia County (215) 823-4507

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 Kelly Decker's NPI number?

The NPI number for Kelly Decker is 1861191066. It was assigned to this individual provider in the NPPES registry on February 27, 2023.

Where is Kelly Decker located?

Kelly Decker practices at 3461 Civic Center Blvd, Philadelphia, PA 19104. The listed phone number is (215) 823-4507.

What is Kelly Decker's specialty?

The primary specialty registered for this NPI is Recreation Therapist with taxonomy code 225800000X.

When was this NPI record last updated?

The NPPES record for Kelly Decker was last updated on May 16, 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.