Dennis William Kellington, MA, ATC

Primary specialty

Respiratory/Developmental/Rehabilitative Specialist/TechnologistTaxonomy code 225500000X

License

001364-1 Issued in NY

Practice address

Manley Field House
Syracuse, NY 13244-5020

Phone

(315) 443-4775

Fax

(315) 443-5057

NPI assigned

Jul 9, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1152403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1205869500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "MANLEY FIELD HOUSE",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132445020",
            "telephone_number": "315-443-4775",
            "fax_number": "315-443-5057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "MANLEY FIELD HOUSE",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132445020",
            "telephone_number": "315-443-4775",
            "fax_number": "315-443-5057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLINGTON",
        "first_name": "DENNIS",
        "middle_name": "WILLIAM",
        "name_prefix": "Mr.",
        "credential": "MA, ATC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225500000X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist",
            "state": "NY",
            "license": "001364-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ATHLETIC TRAINER LICENSE",
            "identifier": "001364-1",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Grant Gordon Kelley, M.D.
• Renee Kelley
• Richard Thomas Kelley, M.D.
• Shannon Kathleen Kelley, PMHNP, LCSW, CASAC
• Shari L Kelley, NP
• Robert Kellman, M.D.
• Bridget A Kellogg
• Katey Kellogg
• Amy Theresa Kelly, MS SPECIAL EDUCATION
• Anna Catherine Kelly

• Respiratory/Developmental/Rehabilitative Specialist/Technologist in Syracuse, NY
• Providers in Syracuse, NY by specialty
• Respiratory/Developmental/Rehabilitative Specialist/Technologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.