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

Mr. Brian N Kelly, PT

Individual provider Physical Therapist · NPI 1619023553

Mr. Brian N Kelly, PT is a Physical Therapist in South Lake Tahoe, California. Works from 3 locations. Licensed in California and Nevada.

Licensed in
CA, NV
In the registry since
2007
Specialties on file
2
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

2170 S Ave
South Lake Tahoe, CA 96150-7026
Phone: (530) 543-5896
Fax: (530) 544-6512
Show map & directions

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

Additional practice locations (2)

  • 1139 3rd St, South Lake Tahoe, CA 96150-3465 — (530) 543-5706
  • 155 Highway 50 Fl 2, Stateline, NV 89449-9816 — (775) 589-8953

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 34365 (CA)
Physical Therapist Taxonomy 225100000X · Licence 2264 (NV)

Record details

NPI number1619023553
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorNo
NPI enumeratedJanuary 25, 2007
Last updated in NPPESMarch 21, 2018

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