Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Kelly Dewan

Individual provider Physical Therapist · NPI 1487589669

Kelly Dewan is registered under Physical Therapist in Private Practice in Audubon, Pennsylvania. Qualified in 2000, 26 years ago. Practices with Shannondell, Inc, an 18-clinician group and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
26
Licensed in
PA
In the registry since
2026
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Practice location Address checks out

10000 Shannondell Dr
Audubon, PA 19403-5615
Phone: (610) 728-5400
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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 PT013510L (PA)

Record details

NPI number1487589669
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 17, 2026
Last updated in NPPESJune 17, 2026
Certification dateJune 17, 2026

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2000 (26 years in practice)
Group practice Shannondell, Inc. — 18 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Colleagues at Shannondell, Inc

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 18 clinicians in the practice; 12 are shown here.

Other providers in Audubon