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

Shelby Kelly, PT

Individual provider Physical Therapist · NPI 1689263246

Shelby Kelly, PT is a Physical Therapist in Private Practice in Port Charlotte, Florida. Qualified in 2020, 6 years ago. Licensed in Florida.

Years since qualifying
6
Licensed in
FL
In the registry since
2021
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

4130 Tamiami Trl Ste 2
Port Charlotte, FL 33952-9207
Phone: (844) 287-2286
Fax: (941) 883-4101
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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 PT36555 (FL)

Record details

NPI number1689263246
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT
Sole proprietorNo
NPI enumeratedJanuary 18, 2021
Last updated in NPPESJanuary 18, 2021
Certification dateJanuary 18, 2021

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Accepts Medicare assignment Not indicated

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