Kelly Anne Fleming, PT, DPT, PCS

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

025500 Issued in NY

Practice address

3279 Veterans Hwy
Ronkonkoma, NY 11779-7673

Phone

(631) 580-8720

Fax

(631) 580-8727

NPI assigned

Oct 10, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Kelly Anne Toelken Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Christopher Showalter PT PC

  • Orthopedic Physical Therapist
  • Mattituck, NY
  • NPI 1053327833
  NPD (past)
• Christopher Showalter PT PC

  • Specialist
  • New York, NY
  • NPI 1245418003
  NPD (past)

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

{
    "created_epoch": "1191974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1191974400000",
    "number": "1033307590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 KNOLLTOP DR",
            "city": "NESCONSET",
            "state": "NY",
            "postal_code": "117672222",
            "telephone_number": "631-382-3922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3279 VETERANS HWY",
            "city": "RONKONKOMA",
            "state": "NY",
            "postal_code": "117797673",
            "telephone_number": "631-580-8720",
            "fax_number": "631-580-8727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLEMING",
        "first_name": "KELLY",
        "middle_name": "ANNE",
        "credential": "PT, DPT, PCS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-10",
        "last_updated": "2007-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "025500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELLY",
            "last_name": "TOELKEN",
            "middle_name": "ANNE",
            "credential": "PT, DPT, PCS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Maria Fitzpatrick, MA OTRL
• Kristin A Fiumefreddo, M.A.
• Michele Marie Flannery, MSED
• Sophia Fleischer
• Catherine Fleming
• Wendy Fleming, LCSW
• Modesto Fontanez, M.D.
• Doreen Forbush-Gharbi, LPN
• Jean Carol Forrest, LMHC
• FPJ Manage Opp Inc.

• Physical Therapist in Ronkonkoma, NY
• Providers in Ronkonkoma, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.