Thomas Kelly, Physical Therapy
Physical Therapist in Massapequa Park, NY. Individual provider (NPI-1).
NPI number1245844554
StatusActive
Last updated in NPPESSep 3, 2020
Details
- NPI
- 1245844554
- Entity type
- Individual (NPI-1)
- Name
- Thomas Kelly
- Credential
- Physical Therapy
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Sep 3, 2020
- Certification date
- Sep 3, 2020
- Last updated
- Sep 3, 2020
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | 037158-1 | NY | Yes |
Practice location
204 Eastlake AveMassapequa Park, NY 11762-2145
Phone 516-639-3736
Mailing address
204 Eastlake AveMassapequa Park, NY 11762-2145
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Physical Therapist providers in Massapequa Park, NY
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- Nicole BrockNPI 1376974774
- Alfred Cascio, PTNPI 1427459395
- Jill Susan Costa, P.T.NPI 1922045467
- Lauren Crespo, P.T.NPI 1477915346
- Joseph Paul Dabovich, P.T.NPI 1033209358
- Cecelia Davoli, P.T.NPI 1457642142
- Paul Russell Goldman, P.T.NPI 1669504130
- J P D Physical Therapy, P.C.NPI 1396919122
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All 18 Physical Therapist providers in Massapequa Park · All 410 providers in Massapequa Park
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