Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Jack E Kelly, PT, DPT

Individual provider Physical Medicine & Rehabilitation Physician · NPI 1073137998

Dr. Jack E Kelly, PT, DPT is a Physical Medicine & Rehabilitation Physician in Ann Arbor, Michigan. Licensed in Ohio. Registered with an NPI since 2020.

Licensed in
OH
In the registry since
2020
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

2215 Fuller Rd
Ann Arbor, MI 48105-2303
Phone: (734) 769-7100
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Medicine & Rehabilitation Physician (primary) Taxonomy 208100000X · Licence PT018477 (OH)

Record details

NPI number1073137998
Entity typeIndividual (Type 1)
GenderMale
Credentials PT , DPT
Sole proprietorNo
NPI enumeratedJune 5, 2020
Last updated in NPPESMarch 6, 2026
Certification dateMarch 6, 2026
Mailing address8906 Meyer Ave, Brighton, MI 48116-2023

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