Individual provider Active NPI

Bryan David Kelly, PT, MS

  • Physical Therapist
  • Brewster, NY
National Provider Identifier
1003921719
Registry record updated Aug 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
021446-1 Issued in NY
Practice address
3 Starr Ridge Rd Ste 100
Brewster, NY 10509-4528
Phone
(845) 279-9288
NPI assigned
Aug 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 021446-1 NY Primary

Addresses

Primary practice location

3 Starr Ridge Rd Ste 100
Brewster, NY 10509-4528

Mailing address

89 Firethorn Dr
Wappingers Falls, NY 12590-7511
Phone (845) 831-6911

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040918000141 NY Practitioner - Physical Therapist in Private Practice 9436124377 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Mercy College, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aon Physical Therapy and Wellness, PLLCGroup PAC ID 1557456472, 9 clinicians

Practice addresses (Care Compare)

185 Route 312
Suite 301B
Brewster, NY 10509-2377
Phone (845) 279-9288

3 Starr Ridge Rd
Suite 100
Brewster, NY 10509-4528
Phone (845) 279-9288

862 Route 6
Mahopac, NY 10541-1721
Phone (845) 208-0963

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
021446-1NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Aon Physical Therapy and Wellness, PLLC Physical Therapist CurrentSince Sep 1, 2007 Accepting new patients
Sports Physical Therapy of New York, P.C. Physical Therapist PastSince Dec 11, 2013 Accepting new patients
Encompass Health Rehabilitation Hospital of Florence, Inc. Past Accepting new patients

Locations

3 Starr Ridge Rd
Ste 100
Brewster, NY 10509
Phone (845) 279-9288

185 Route 312
Ste 301B
Brewster, NY 10509
Phone (845) 279-9288

244 Westchester Ave
Ste 217
White Plains, NY 10604
Phone (914) 328-6016

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786665600000",
    "number": "1003921719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "89 FIRETHORN DR",
            "city": "WAPPINGERS FALLS",
            "state": "NY",
            "postal_code": "125907511",
            "telephone_number": "845-831-6911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 STARR RIDGE RD STE 100",
            "city": "BREWSTER",
            "state": "NY",
            "postal_code": "105094528",
            "telephone_number": "845-279-9288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLY",
        "first_name": "BRYAN",
        "middle_name": "DAVID",
        "name_prefix": "Mr.",
        "credential": "PT, MS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-20",
        "last_updated": "2026-08-14",
        "certification_date": "2026-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "021446-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brewster, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.