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

Devin Kelly, PTA

Individual provider Physical Therapy Assistant · NPI 1134760440

Devin Kelly, PTA is a Physical Therapist in Private Practice in Avon, Connecticut. Qualified in 2024, 2 years ago. Practices with Anb-Ptsma Holdings Inc, a 184-clinician group and accepts Medicare assignment. Licensed in Connecticut and Massachusetts.

Years since qualifying
2
Licensed in
CT, MA
In the registry since
2019
Specialties on file
2
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

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Practice location Address checks out

44 Dale Rd Ste 203
Avon, CT 06001-4351
Phone: (860) 674-1713
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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 14732 (CT)
Physical Therapy Assistant Taxonomy 225200000X · Licence 9662 (MA)

Record details

NPI number1134760440
Entity typeIndividual (Type 1)
GenderMale
Credentials PTA
Sole proprietorNo
NPI enumeratedOctober 8, 2019
Last updated in NPPESDecember 26, 2024
Certification dateDecember 26, 2024
Mailing address47 N Main St, West Hartford, CT 06107-1926

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 Anb-Ptsma Holdings Inc — 184 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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