NPI 1114969961

Richard Lance Kelly, MPTATC

Practitioner Sports Medicine (Physical Medicine & Rehabilitation) Physician Washington, DC

Practice location

Address: 1120 20th St NW, Washington, DC 20036
Phone: (202) 416-2110
Mailing address: 15945 Paynes Farm Dr [email protected], Haymarket, VA 20169-3406

Registered specialties (2)

Sports Medicine (Physical Medicine & Rehabilitation) Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 2081S0010X Licence 871829 (DC)

Other Physical Medicine & Rehabilitation providers in District of Columbia →

Physical Therapist

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225100000X Licence 6446 (GA)

Other Physical Therapist providers in District of Columbia →

Registry record

NPI: 1114969961
Entity type: Individual
Sex (as registered): Male
NPI issued: 12 Jun 2006
Record last updated: 13 Aug 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.