Kenneth Jason Kelly, PT, DPT
NPI 1821301961ActiveIndividual· Physical Therapist· Colonial Heights, VA
Physical Therapist (PT, DPT) with Tidewater Physical Therapy LLC, practicing in Colonial Heights, Virginia. Medicare paid $159,049 for services to 286 patients in 2024.
Overview
| NPI | 1821301961 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PT, DPT |
| Sole proprietor | No |
| NPI issued | Jul 19, 2010 |
| Last updated in NPPES | May 27, 2020 |
| Certified by provider | May 27, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | 2305206555 | VA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physical Therapist in Private Practice (VA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 286 |
|---|---|
| Services billed | 7,872 across 19 procedure codes |
| Paid by Medicare | $159,049 |
Education and affiliations
| Graduation year | 2010 |
|---|---|
| Medicare specialty | Physical Therapist In Private Practice |
Medical group
- Tidewater Physical Therapy LLCMidlothian, VA · 253 clinicians
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All 39 physical therapists in Colonial Heights · All physical therapists in Virginia