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

Lisa Kelly, PT, CERTMDT, COMT

Individual provider Specialist · NPI 1134120116

Lisa Kelly, PT, CERTMDT, COMT is a Specialist in Philadelphia, Pennsylvania. Licensed in Pennsylvania. Registered with an NPI since 2005.

Licensed in
PA
In the registry since
2005
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

420 Bainbridge St
Philadelphia, PA 19147-1568
Phone: (215) 629-1270
Fax: (215) 629-5531
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence PT009484-L (PA)

Record details

NPI number1134120116
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT , CERTMDT , COMT
Sole proprietorNo
NPI enumeratedAugust 2, 2005
Last updated in NPPESOctober 13, 2022
Certification dateOctober 13, 2022

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