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

Jennifer Marie Kelly

Individual provider Physical Therapy Assistant · NPI 1578372850

Jennifer Marie Kelly is a Physical Therapy Assistant in South Bend, Indiana. Practices as a sole proprietor. Licensed in Indiana.

Licensed in
IN
In the registry since
2025

Practice location Address checks out

53940 Carmichael Dr
South Bend, IN 46635-1564
Phone: (574) 335-6212
Show map & directions

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

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 06005944A (IN)

Record details

NPI number1578372850
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJanuary 2, 2025
Last updated in NPPESJanuary 2, 2025
Certification dateJanuary 2, 2025

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