Kenneth Jason Kelly, PT, DPT
Physical Therapist · Colonial Heights, VA
Kenneth Jason Kelly, PT, DPT is a physical therapist with a practice address in Colonial Heights, Virginia, and NPI 1821301961, issued on Jul 19, 2010. Check the license (Virginia 2305206555, as entered in NPPES) with the Virginia board that licenses this profession; the Medicare figures below come from public CMS files.
- Name
- Kenneth Jason Kelly
- Credential
- PT, DPT
- Primary taxonomy
- Physical Therapist 225100000X
- License number
- 2305206555 VA
Self-reported in NPPES; status is on the state search - Practice location
- 300B Temple Lake Dr Ste 1, Colonial Heights, VA 23834
- Phone
- (804) 524-9036
- Enumerated
- Jul 19, 2010
- Record last updated
- May 27, 2020 (not updated in 6 years: call before relying on the address or phone)
- Fax
- (804) 524-9039
- Medicaid ID
- 1821301961 VA
- Medicare enrollment
- Enrolled (PECOS I20101101001242); accepts Medicare assignment
- Entity
- Type 1 · individual
Also registered at 300B Temple Lake Dr Ste 1
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Elizabeth Berman, PT, DPT, CIMT, CMTPTPhysical Therapist1891738605
- Hope BollinPhysical Therapist1831052323
- Catherine Bowling, PT, DPTPhysical Therapist1427741644
- Gil Enav, DPTPhysical Therapist1992320410
- Christopher Fosdick, DPTPhysical Therapist1679922504
- Ashley Kenny, PT, DPTPhysical Therapist1306336169
Verify Kenneth Jason Kelly in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich Virginia board licenses this profession
Search for license 2305206555Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
The MIPS final score for 2023 (Medicare payment program): 0 of 100
The Merit-based Incentive Payment System score is reported for this clinician. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.
Source: CMS Quality Payment Program, MIPS performance year 2023; category weights for 2023 (qpp.cms.gov).
Bills Medicare through one group practice
- Tidewater Physical Therapy LLCColonial Heights, VA
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
37 physical therapist records list a practice address in Colonial Heights
They are 37 of the 459 NPPES records with a practice address in Colonial Heights, and 6,893 physical therapist records in Virginia.
All 37 in Colonial Heights → All 6,893 in Virginia → Every provider in Colonial Heights →
Other physical therapist records in Virginia
- Jennifer Aaron, DPTManakin Sabot, VA1275621096
- E'Lane Abbey, DPTRichmond, VA1144694985
- Donna Abbott, PTHampton, VA1154383255
- Joseph Abbott, PTChesapeake, VA1598484404
- Usama Abdelghany, PTAlexandria, VA1972759181
- Aya AbdoWoodbridge, VA1245063577
- Deborah Abdow-Addis, PT, MSVienna, VA1881768679
- Andrea Abdul-HaqqCentreville, VA1942676770
- Marisa AbeggFairfax, VA1144862939
- Kaitlin AbelsethChristiansburg, VA1609540061
Common questions
What is Kenneth Jason Kelly, PT, DPT's NPI number?
Kenneth Jason Kelly, PT, DPT's National Provider Identifier (NPI) is 1821301961, issued on Jul 19, 2010. An NPI identifies a provider in billing; it is not a license.
Where is Kenneth Jason Kelly, PT, DPT located?
The NPPES record lists a practice address at 300B Temple Lake Dr Ste 1, Colonial Heights, VA, 23834. Phone: (804) 524-9036. Providers update this record themselves, so call before visiting.
How can I verify Kenneth Jason Kelly, PT, DPT's license?
NPPES lists Virginia license number 2305206555, as entered by the provider. Search the Virginia board that licenses this profession; the NPPES record confirms identity only.
What is Kenneth Jason Kelly, PT, DPT's MIPS final score?
The 2023 MIPS final score is 0 of 100. The average among 454,083 clinicians with a measured score was 83.5.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.