Jennifer Lynn Kelly, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

020563 Issued in NY

Practice address

1955 Route 52
Hopewell Junction, NY 12533-3513

Phone

(845) 897-0170

Fax

(845) 202-1812

NPI assigned

Jun 17, 2013

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, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ivyrehab Physical Therapy, Occupational Therapy and Speech Language PAGroup PAC ID 7012997638, 385 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Ivyrehab Physical Therapy, Occupational Therapy & Speech Language Path

  • Physical Therapist
  • Harrison, NY
  • NPI 1396799409
  Medicare reassignment Care Compare group NPD
• Carmel Medical Care P.C.

  • Specialist
  • Carmel, NY
  • NPI 1295189397
  Medicare reassignment NPD
• Harrison Physical Therapy, P.C.

  • Physical Therapist
  • Fishkill, NY
  • NPI 1548284151
  NPD
• Ivyrehab Physical Therapy, Occupational Therapy & Speech Language Pathology, PLLC

  • Physical Medicine & Rehabilitation Physician
  • New York, NY
  • NPI 1215637699
  NPD
• Alpine Physical Therapy & Wellness Center, Inc

  • Physical Therapy Clinic/Center
  • Alpine, CA
  • NPI 1669576930
  NPD (past)

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

{
    "created_epoch": "1371427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568332800000",
    "number": "1649619271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1955 ROUTE 52",
            "city": "HOPEWELL JUNCTION",
            "state": "NY",
            "postal_code": "125333513",
            "telephone_number": "845-278-8400",
            "fax_number": "845-278-4326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1955 ROUTE 52",
            "city": "HOPEWELL JUNCTION",
            "state": "NY",
            "postal_code": "125333513",
            "telephone_number": "845-897-0170",
            "fax_number": "845-202-1812"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "667 Stoneleigh Ave",
            "address_2": "Suite 117",
            "address_purpose": "LOCATION",
            "city": "Carmel",
            "state": "NY",
            "postal_code": "105122454",
            "country_code": "US",
            "telephone_number": "845-230-5178",
            "fax_number": "845-363-1816",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KELLY",
        "first_name": "JENNIFER",
        "middle_name": "LYNN",
        "name_prefix": "Miss",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-17",
        "last_updated": "2019-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "020563",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ellen Margaret Johnson, R.P.N.
• Chamell Denise Jones, LMSW
• Stanley E Kacherski, DDS MS PC
• Kathleen Woods NP-Psychiatry PC
• Karol J Kawalec, DPM
• Alyssa Kennedy
• Kaylah Kennedy
• Paula Kay Kermani, NPP
• Gladybell Kieser
• Mary Alice King, LCSW

• Physical Therapist in Hopewell Junction, NY
• Providers in Hopewell Junction, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2019; 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.