Kelsey Nicole O'Leary, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

039240 Issued in NY

Practice address

1630 E 15TH St
Brooklyn, NY 11229-1192

Phone

(866) 867-8632

NPI assigned

Feb 19, 2019

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

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in VT

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physical Medicine and Rehabilitation

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Dee Physical Therapy Services PLCGroup PAC ID 6800888595, 11 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Dee Physical Therapy Services PLC

  • Physical Therapist
  • South Burlington, VT
  • NPI 1083773436
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1550534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575849600000",
    "number": "1649736364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 MENDOTA DR",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146263852",
            "telephone_number": "585-690-0098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1630 E 15TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112291192",
            "telephone_number": "866-867-8632"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'LEARY",
        "first_name": "KELSEY",
        "middle_name": "NICOLE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-19",
        "last_updated": "2019-12-09",
        "certification_date": "2019-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "039240",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NY PT LINENSING BOARD",
            "identifier": "039240",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ME PT LICENSING BOARD",
            "identifier": "PT5525",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Patricia M O'Kane, NP
• Paul David O'Keefe, D.O.
• Stephanie O'Keefe
• Susanna O'Kula, MD
• Kathryn O'Leary, PNP
• Michael O'Leary, PT, DPT
• Jerry O'Mahony
• Aidan O'Malley, DO
• Jeffrey Carl O'Malley, L.C.S.W
• Laura Ann O'Malley

• All providers in Brooklyn, NY
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.