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

Derek Kelly, PT/AOP

Individual provider Physical Therapist · NPI 1043649239

Derek Kelly, PT/AOP is a Physical Therapist in Charlotte, North Carolina. Practices as a sole proprietor and works from 2 locations. Licensed in North Carolina.

Licensed in
NC
In the registry since
2013

Practice location Address checks out

3800 Shamrock Dr
Charlotte, NC 28215-3220
Phone: (704) 532-5462
Fax: (704) 532-5387
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2675 Court Dr, Gastonia, NC 28054-1478 — (704) 824-7800

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 14094 (NC)

Record details

NPI number1043649239
Entity typeIndividual (Type 1)
GenderMale
Credentials PT/AOP
Sole proprietorYes
NPI enumeratedNovember 7, 2013
Last updated in NPPESMarch 17, 2018

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