Active NPI
Rachel Kelly, DPT
- Physical Therapist
- New York, NY
National Provider Identifier
1285082537
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 040112
- Practice address
- 14 Wall St
New York, NY 10005-2101 - Phone
- (212) 227-0800
- Fax
- (212) 227-0808
- NPI assigned
- May 27, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 040112 | NY | Primary |
Addresses
Primary practice location
14 Wall St
New York, NY 10005-2101
Mailing address
2142 Utopia Pkwy
Whitestone, NY 11357-4142
Phone (718) 819-6805
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 040112 | NY | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1464307200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1464307200000",
"number": "1285082537",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2142 UTOPIA PKWY",
"city": "WHITESTONE",
"state": "NY",
"postal_code": "113574142",
"telephone_number": "718-819-6805",
"fax_number": "347-841-9109"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14 WALL ST",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100052101",
"telephone_number": "212-227-0800",
"fax_number": "212-227-0808"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KELLY",
"first_name": "RACHEL",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-05-27",
"last_updated": "2016-05-27",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "040112",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.