Individual provider Active NPI

Kelly Ann Singh, PT, DPT

  • Orthopedic Physical Therapist
  • New Hyde Park, NY
National Provider Identifier
1194239319
Registry record updated Apr 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
048156-01 Issued in NY
Practice address
1991 Marcus Ave Ste M115
New Hyde Park, NY 11042-3000
Phone
(516) 467-9148
NPI assigned
Nov 27, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 40QA01767800 NJ
Orthopedic Physical Therapist 2251X0800X 048156-01 NY Primary

Addresses

Primary practice location

1991 Marcus Ave Ste M115
New Hyde Park, NY 11042-3000

Mailing address

115 Ellsworth Ave
Mineola, NY 11501-1804
Phone (609) 458-3266

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ksingh547382@nyumc.direct-ci.com

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230206000772 NY Practitioner - Physical Therapist in Private Practice 1254761166 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1063 Willis Ave
Albertson, NY 11507-1334
Phone (516) 656-7776

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
048156NYMDDentist
048156-01NYMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
New York University CurrentSince Jan 30, 2023 Accepting new patients
Ivyrehab Physical Therapy, Occupational Therapy & Speech Language Pathology, PLLC CurrentSince Dec 11, 2023 Accepting new patients
New York University CurrentSince Jan 30, 2023 Accepting new patients
Ivyrehab Physical Therapy, Occupational Therapy & Speech Language Path Physical Therapist CurrentSince Dec 11, 2023 Accepting new patients
Rehabclinics SPT Inc Past Accepting new patients

Locations

1063 Willis Ave
Albertson, NY 11507
Phone (516) 656-7776

550 Mamaroneck Ave
Ste 104
Harrison, NY 10528
Phone (914) 777-3737

1991 Marcus Ave
Ste M115
New Hyde Park, NY 11042
Phone (516) 467-8730

13303 Jamaica Ave
#13292
Richmond Hill, NY 11418
Phone (718) 291-3276

13303 Jamaica Ave
Richmond Hill, NY 11418
Phone (718) 206-6942

Interoperability endpoints

  • Direct secure messaging: ksingh547382@nyumc.direct-ci.com

Organizations & group practices 5

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": "1511740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681430400000",
    "number": "1194239319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 ELLSWORTH AVE",
            "city": "MINEOLA",
            "state": "NY",
            "postal_code": "115011804",
            "telephone_number": "609-458-3266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1991 MARCUS AVE STE M115",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110423000",
            "telephone_number": "516-467-9148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SINGH",
        "first_name": "KELLY",
        "middle_name": "ANN",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-27",
        "last_updated": "2023-04-14",
        "certification_date": "2023-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01767800",
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "NY",
            "license": "048156-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ksingh547382@nyumc.direct-ci.com",
            "affiliation": "N",
            "address_1": "1991 Marcus Ave Ste M115",
            "city": "New Hyde Park",
            "state": "NY",
            "country_code": "US",
            "postal_code": "110423000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in New Hyde Park, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2023; 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.