Kelley Ann Pickard, DPT

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

047552-01 Issued in NY

Practice address

2111 Sawyer Dr
Niagara Falls, NY 14304-2975

Phone

(716) 731-2195

NPI assigned

Sep 20, 2021

Last updated

Sep 20, 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

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Lingle and Mazur Physical Therapy PCGroup PAC ID 7315105152, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kelleypickard@duboispt.medentdirect.com

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.

• Lingle & Mazur Physical Therapy, PC

  dba Dubois Physical Therapy

  • Physical Therapist
  • Niagara Falls, NY
  • NPI 1477848810

  Orthopedic

  Medicare reassignment Care Compare group NPD
• Curtis B Duboise PT PC

  dba Curtis B DuBois and Associates Physical Therapy

  • Physical Therapist
  • Niagra Falls, NY
  • NPI 1720145329

  Orthopedic

  NPD (past)

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

{
    "created_epoch": "1632096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632096000000",
    "number": "1548930688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2111 SAWYER DR",
            "city": "NIAGARA FALLS",
            "state": "NY",
            "postal_code": "143042975",
            "telephone_number": "716-731-2195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2111 SAWYER DR",
            "city": "NIAGARA FALLS",
            "state": "NY",
            "postal_code": "143042975",
            "telephone_number": "716-731-2195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PICKARD",
        "first_name": "KELLEY",
        "middle_name": "ANN",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-20",
        "last_updated": "2021-09-20",
        "certification_date": "2021-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "NY",
            "license": "047552-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bianca Pham
• Pharmacy Operations of New York Inc (Medicine Shoppe)
• Dawn Cheryl Phillips, LMSW
• PHS NFM, LLC (Parkview Rx Niagara Falls)
• Cassandra Marie Piccione, RPA-C
• Alexa Pickering, CRNA
• Tamiya Pierce
• Tommi-Lynne Piernik, ADVANCED CASAC
• Charles Pierson
• Melanie Jeanne Pietrowski, REGISTERED NURSE

• Orthopedic Physical Therapist in Niagara Falls, NY
• Providers in Niagara Falls, NY by specialty
• Orthopedic Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.