Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Brody Kelly, PHYSICALTHERAPY

Individual provider Physical Therapist · NPI 1952122848

Brody Kelly, PHYSICALTHERAPY is a Physical Therapist in Private Practice in Zachary, Louisiana. Qualified in 2024, 2 years ago. Practices with Lewy Physical Therapy Inc, a 10-clinician group and accepts Medicare assignment. Licensed in Louisiana.

Years since qualifying
2
Licensed in
LA
In the registry since
2024
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Practice location Address checks out

4845 Main St Ste C
Zachary, LA 70791-3943
Phone: (225) 286-0181
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 11925 (LA)

Record details

NPI number1952122848
Entity typeIndividual (Type 1)
GenderMale
Credentials PHYSICALTHERAPY
Sole proprietorNo
NPI enumeratedOctober 23, 2024
Last updated in NPPESOctober 23, 2024
Certification dateOctober 23, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Lewy Physical Therapy Inc — 10 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Zachary