What is Brian Kelly's NPI number?

Brian Kelly's National Provider Identifier (NPI) is 1619023553, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Brian Kelly's specialty?

Brian Kelly is listed in the NPPES registry with a primary specialty of Physical Therapist (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).

Where is Brian Kelly located?

Brian Kelly's practice location on file with NPPES is 2170 South Ave, South Lake Tahoe, CA 96150-7026.

What is Brian Kelly's phone number?

The practice phone number listed in the NPPES registry for Brian Kelly is (530) 543-5896.

Is Brian Kelly's NPI active?

Yes — Brian Kelly's NPI (1619023553) is active in the NPPES registry as of the last update on 2018-03-21.

IndividualActive

Brian Kelly, PT

NPI 1619023553 · Physical Therapist · South Lake Tahoe, CA

Brian Kelly, PT is a Physical Therapist provider in South Lake Tahoe, CA (NPI 1619023553).

Provider details

NPI number: 1619023553
Entity type: Individual
Primary specialty: Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Credential: PT
Sex: Male
Sole proprietor: No
License: 2264 (NV)

Specialties & taxonomies

Physical TherapistPrimary225100000XLicense 34365 (CA)
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Physical Therapist225100000XLicense 2264 (NV)
Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Profile Score

Detailed profile(99/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
19 yrs in NPPES registry
Profile completeness38% of score
100% of core fields populated
Practice footprint23% of score
3 documented practice locations

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

Practice location

2170 South Ave

South Lake Tahoe, CA 96150-7026

Phone: (530) 543-5896

Fax: (530) 544-6512

Street-level locationGet directions

More CA providers

Mailing address

Po Box 9578

South Lake Tahoe, CA 96158-9578

Additional practice locations (2)

1139 3rd St
South Lake Tahoe, CA 96150-3465
Phone: (530) 543-5706
Fax: (530) 541-4130
155 Highway 50 Fl 2
Stateline, NV 89449-9816
Phone: (775) 589-8953
Fax: (775) 589-8920

Enumerated: 2007-01-25
Last updated: 2018-03-21

Frequently asked questions

What is Brian Kelly's NPI number?: Brian Kelly's National Provider Identifier (NPI) is 1619023553, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
What is Brian Kelly's specialty?: Brian Kelly is listed in the NPPES registry with a primary specialty of Physical Therapist (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
Where is Brian Kelly located?: Brian Kelly's practice location on file with NPPES is 2170 South Ave, South Lake Tahoe, CA 96150-7026.
What is Brian Kelly's phone number?: The practice phone number listed in the NPPES registry for Brian Kelly is (530) 543-5896.
Is Brian Kelly's NPI active?: Yes — Brian Kelly's NPI (1619023553) is active in the NPPES registry as of the last update on 2018-03-21.

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.