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

Jennifer Marie Kelly, DPT

Individual provider Physical Therapist · NPI 1417931817

Jennifer Marie Kelly, DPT is a Physical Therapist in Private Practice in Bend, Oregon. Qualified in 2002, 24 years ago. Practices with Falling Waters LLC, a 6-clinician group and accepts Medicare assignment. Licensed in Alaska, Nebraska and Oregon.

Years since qualifying
24
Licensed in
AK, NE, OR
In the registry since
2005
Specialties on file
3
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

55 NW Wall St Ste 100 0
Bend, OR 97703-3200
Phone: (541) 389-4321
Fax: (541) 389-4420
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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 4483 (OR)
Physical Therapist Taxonomy 225100000X · Licence 1723 (AK)
Physical Therapist Taxonomy 225100000X · Licence 2421 (NE)

Record details

NPI number1417931817
Entity typeIndividual (Type 1)
GenderFemale
Credentials DPT
Sole proprietorNo
NPI enumeratedNovember 30, 2005
Last updated in NPPESOctober 7, 2016

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2002 (24 years in practice)
Group practice Falling Waters Llc — 6 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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