IndividualActive
Richard Kelly, MPT,ATC
NPI 1114969961 · Sports Medicine (Physical Medicine & Rehabilitation) Physician · Washington, DC
Provider details
- NPI number
- 1114969961
- Entity type
- Individual
- Primary specialty
- Sports Medicine (Physical Medicine & Rehabilitation) PhysicianAllopathic & Osteopathic Physicians
- Credential
- MPT,ATC
- Sex
- Male
- Sole proprietor
- Yes
- License
- 6446 (GA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
1120 20th St Nw
Washington, DC 20036
Phone: (202) 416-2110
Approximate (ZIP-level) locationGet directions
Mailing address
15945 Paynes Farm Dr
Haymarket, VA 20169-3406
Registry dates
- Enumerated
- 2006-06-12
- Last updated
- 2025-08-13
- Certified
- 2025-08-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.