Mikayla Nicole Kelley, PT, DPT

Primary specialty

Pediatric Physical TherapistTaxonomy code 2251P0200X

License

056168 Issued in NY

Practice address

515 Moe Rd
Clifton Park, NY 12065-3821

Phone

(518) 280-4294

NPI assigned

May 19, 2026

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Access Therapy Group PT OT SLP and Psychology Services PLLC

  • Physical Medicine & Rehabilitation Physician
  • Clifton Park, NY
  • NPI 1255641510

  Pediatrics

  NPD (past)

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

{
    "created_epoch": "1779148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787529600000",
    "number": "1538099007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32 COACHMAN DR",
            "city": "BALLSTON SPA",
            "state": "NY",
            "postal_code": "120202710",
            "telephone_number": "518-225-5031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 MOE RD",
            "city": "CLIFTON PARK",
            "state": "NY",
            "postal_code": "120653821",
            "telephone_number": "518-280-4294"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLEY",
        "first_name": "MIKAYLA",
        "middle_name": "NICOLE",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-05-19",
        "last_updated": "2026-08-24",
        "certification_date": "2026-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "NY",
            "license": "056168",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kate Kawola-McAdam, AU.D.
• Valerie Keefer, LMHC
• Ruth Ellen Kelleher, N.P.
• Amanda Leigh Keller, LCSW-R
• David J. Kelley, PH.D.
• Lisa Kelly, MACCCSLP
• Matthew Kyran Kelly
• Rachel Kelly
• Jennifer J Kenney, CCC-SLP
• Sarah Gilda Khan, PHARM D

• Pediatric Physical Therapist in Clifton Park, NY
• Providers in Clifton Park, NY by specialty
• Pediatric Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2026; 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.