Joseph Michael Kelly, DPT
NPI 1942807896ActiveIndividual· Physical Therapist· Holladay, UT
Physical Therapist (DPT) in Holladay, Utah, trained at Boston University School of Medicine (class of 2020). Medicare paid $29,859 for services to 35 patients in 2024.
Overview
| NPI | 1942807896 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | DPT |
| Sole proprietor | Yes |
| NPI issued | Oct 5, 2020 |
| Last updated in NPPES | Jun 29, 2026 |
| Certified by provider | Jun 29, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | 13666417-2401 | UT |
| Physical Therapist | 225100000X | 25089 | MA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physical Therapist in Private Practice (MA); Practitioner - Physical Therapist in Private Practice (UT) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 35 |
|---|---|
| Services billed | 1,486 across 8 procedure codes |
| Paid by Medicare | $29,859 |
Education and affiliations
| Medical school | Boston University School of Medicine |
|---|---|
| Graduation year | 2020 |
| Medicare specialty | Physical Therapist In Private Practice |
Medical group
- Canyon Sports Therapy IncHolladay, UT · 5 clinicians
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