P Praxis·MD
● Active Type 1 · Individual

MISS Shauna Kelly, PT

Military Health Care Provider·Bryan, TX· NPI 1982900114 · Enumerated 2011 · 15 years on NPI
Kelly is 1 of 1 military health care provider providers in Bryan and 1 of 387 in Texas.
NPI age
15 years
Enumerated 2011-02-05
Primary specialty
Military Health Care Provider
Licensed in
TX
1 state
Status
Active
No deactivations on record
Last NPPES update
2011-02-05
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 387 active military health care provider providers in Texas.

NPI age
15 years
↑ 14 yr above median (1 yr)
State licenses
1 state
1% of peers hold multiple states
Subspecialties
0
10% of peers hold subspecialties

NPI lifetime · 2011 → 2026

2011-02Enumerated in NPPES
2011 2026

Where they practice

Practice location
1600 Joseph Dr
Bryan, TX 778021502
📞 9797762411fax 9797764986
Mailing address
64 Danbury Rd
Wilton, CT 068974429
📞 8002780332fax 8009705001

Specialties

  • Military Health Care Provider Primary
    Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.
    TX license #1195167 taxonomy 171000000X

Practice context

Part of a multi-provider practice. 12 other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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