Eric Michael Kelly, DPT, MS, CSCS
Individual provider Active NPI Physical Therapist · Troy, NY
NPI 1487750824 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1487750824
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 025342 (NY)
- Practice address
- 564 Hoosick St
Troy, NY 12180-2106 - Phone
- (518) 273-2715
- Fax
- (518) 273-2815
- NPI assigned
- Sep 15, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1 Conway CT
Troy, NY 12180-2108
Phone (518) 273-2715
Merit-based Incentive Payment System (MIPS)
- Final score
- 90 of 100
- Quality
- 80
- Improvement activities
- 40
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20031212000075 | NY | Practitioner - Physical Therapist in Private Practice | 3971409582 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine, Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 025342 | NY | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eric Kelly Physical Therapy PLLC | Physical Therapist | Current |
Accepting new patients |
| Columbia Physical Therapy PC | Physical Therapist | Past |
Accepting new patients |
| Physical Therapy Associates of Schenectady, P.C. | Physical Therapist | Past | Accepting new patients |
Locations
1 Conway Ct
Troy, NY 12180
Phone (518) 271-0327
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 025342 | NY | Yes |
Addresses
Primary practice location
564 Hoosick St
Troy, NY 12180-2106
Mailing address
1250 Spring Ave
Wynantskill, NY 12198-3423
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02509451 | Medicaid | NY |
Other providers in Troy, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.