Mr Richard Lance Kelly, MPT,ATC is a
Physical Medicine & Rehabilitation - Sports Medicine based in Washington, District Of Columbia. Mr Richard Lance Kelly is licensed to practice in District Of Columbia (license number 871829) and his current practice location is
1120 20th St Nw, Washington, District Of Columbia. He can be reached at his office (for appointments etc.) via phone at
(202) 416-2110.
NPI number for Mr Richard Lance Kelly is 1114969961 and his current mailing address is 15945 Paynes Farm Dr, Richard.l.kelly@medstar.net, Haymarket, Virginia. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1114969961.
Healthcare Provider's Profile
| Full Name | Mr Richard Lance Kelly |
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| Gender | Male |
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| Speciality | Physical Medicine & Rehabilitation - Sports Medicine |
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| Location | 1120 20th St Nw, Washington, District Of Columbia |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1114969961
- Provider Enumeration Date: 06/12/2006
- Last Update Date: 08/13/2025
Medical Identifiers
Medical identifiers for Mr Richard Lance Kelly such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1114969961 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 225100000X | Physical Therapist | 6446 (Georgia) | Secondary |
| 2081S0010X | Physical Medicine & Rehabilitation - Sports Medicine | 871829 (District Of Columbia) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Richard Lance Kelly is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Mr Richard Lance Kelly, MPT,ATC 15945 Paynes Farm Dr, Richard.l.kelly@medstar.net, Haymarket, VA 20169-3406 Ph: (706) 593-7719 | Mr Richard Lance Kelly, MPT,ATC 1120 20th St Nw, Washington, DC 20036 Ph: (202) 416-2110 |
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