MEDICARE: DR. KELLY TAMARA MCARTHUR DPT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	PT 25979	FL

General Provider Information

NPI Number	:	1821348947
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KELLY TAMARA MCARTHUR DPT

Provider Business Mailing Address
First Line	:	6472 VIREO CT
Second Line	:
City	:	LAKE WORTH
State	:	FL
Zip	:	33463-9342
Country	:	US
Telephone Number	:	305-332-8862
Fax Number	:	561-232-3135

Provider Business Practice Location Address
First Line	:	8198 S JOG RD STE 102G
Second Line	:
City	:	BOYNTON BEACH
State	:	FL
Zip	:	33472-2900
Country	:	US
Telephone Number	:	561-685-6229
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/17/2012
Last Update Date	:	02/08/2025

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