Kelly Haller-Gilmour, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

Practice address

505 Willard Ave Ste 1
Newington, CT 06111-2630

Phone

(860) 665-8265

NPI assigned

Aug 27, 2007

Last updated

Apr 30, 2021By the provider in NPPES

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 identifiers 1

Medicare fee-for-service enrollment

Enrolled in CT

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• Ptsma, Inc.

  dba Select Physical Therapy

  • Physical Therapy Clinic/Center
  • Pawcatuck, CT
  • NPI 1033773759

  Physical Therapist

  Medicare reassignment NPD
• Ptsma Inc

  dba Select Physical Therapy

  • Physical Therapy Clinic/Center
  • Manchester, CT
  • NPI 1619393337
  NPD
• Ptsma, Inc.

  dba Select Physical Therapy

  • Physical Therapy Clinic/Center
  • Newington, CT
  • NPI 1508322272

  Physical Therapist

  NPD

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

{
    "created_epoch": "1188172800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619740800000",
    "number": "1194918763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "59 OLDE HALL RD",
            "city": "HEBRON",
            "state": "CT",
            "postal_code": "062481209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 WILLARD AVE STE 1",
            "city": "NEWINGTON",
            "state": "CT",
            "postal_code": "061112630",
            "telephone_number": "860-665-8265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALLER-GILMOUR",
        "first_name": "KELLY",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-27",
        "last_updated": "2021-04-30",
        "certification_date": "2021-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE#",
            "identifier": "4309",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Neera R Gupta, M.D.
• Vani Gupta, DO
• Steve Gwara, PTA
• Alexandra Hac
• Maha Hadaya
• Holly Hamel, PT
• Cisalee Gene Harrell, APRN
• Shatona Harrison, LCSW
• Jennifer Hart, MSW
• Hartford Healthcare Laboratories

• Physical Therapist in Newington, CT
• Providers in Newington, CT by specialty
• Physical Therapist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.