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

Ryan Thomas Kelley

Individual provider Physical Therapist · NPI 1457134223

Ryan Thomas Kelley is a Physical Therapist in Private Practice in Portland, Maine. Qualified in 2023, 3 years ago. Practices with Pinnacle Rehabilitation Network LLC, a 105-clinician group and accepts Medicare assignment. Licensed in Maine.

Years since qualifying
3
Licensed in
ME
In the registry since
2023
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Practice location Address checks out

331 Veranda St Ste 401
Portland, ME 04103-5545
Phone: (207) 536-0702
Fax: (207) 536-0785
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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 PT6675 (ME)

Record details

NPI number1457134223
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedAugust 16, 2023
Last updated in NPPESNovember 9, 2023
Certification dateNovember 9, 2023

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Pinnacle Rehabilitation Network Llc — 105 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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