Shannon Kelly, - Medicare Physical Therapist in Freehold, NJ

Shannon Kelly, is a medicare enrolled "Physical Therapist" provider in Freehold, New Jersey. She went to Columbia University College Of Physicians And Surgeons and graduated in 2023 and has 3 years of diverse experience with area of expertise as Physical Therapist In Private Practice. Her current practice location is 1050 W Main St, Freehold, New Jersey. You can reach out to her office (for appointments etc.) via phone at (732) 475-4959.

Shannon Kelly is licensed to practice in New Jersey (license number 40QA02201800) and she also participates in the medicare program. She may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1366398323.

Contact Information

Shannon Kelly,
1050 W Main St,
Freehold, NJ 07728-2509
(732) 475-4959
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameShannon Kelly
GenderFemale
SpecialityPhysical Therapist In Private Practice
Experience3 Years
Location1050 W Main St, Freehold, New Jersey
Accepts Medicare AssignmentsMay be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Shannon Kelly attended and graduated from Columbia University College Of Physicians And Surgeons in 2023
  NPI Data:
  • NPI Number: 1366398323
  • Provider Enumeration Date: 03/10/2026
  • Last Update Date: 03/10/2026
  Medicare PECOS Information:
  • PECOS PAC ID: 9537638168
  • Enrollment ID: I20260513001905

Medical Identifiers

Medical identifiers for Shannon Kelly such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1366398323NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225100000XPhysical Therapist 40QA02201800 (New Jersey)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. Shannon Kelly is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Shannon Kelly,
1050 W Main St,
Freehold, NJ 07728-2509

Ph: (732) 475-4959
Shannon Kelly,
1050 W Main St,
Freehold, NJ 07728-2509

Ph: (732) 475-4959

Reviews and Comments


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Mr. Charles Robert Hendricks Jr., P.T
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Phone: 732-625-2200    Fax: 732-625-2205
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Phone: 732-758-8200    Fax: 732-758-8250
Ms. Kathryn Poklemba, PT
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Phone: 732-409-6094    
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Practice Location: 77 Schanck Rd Ste C3, Freehold, NJ 07728
Phone: 917-402-7237    Fax: 732-414-2489

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.