Christopher Francis Kelly, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

046472 Issued in NY

Practice address

4007 Merrick Rd
Seaford, NY 11783-2831

Phone

(516) 783-3420

NPI assigned

Oct 29, 2020

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1603929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603929600000",
    "number": "1649870536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 CROYDEN DR",
            "city": "MASSAPEQUA",
            "state": "NY",
            "postal_code": "117586141",
            "telephone_number": "516-660-1806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4007 MERRICK RD",
            "city": "SEAFORD",
            "state": "NY",
            "postal_code": "117832831",
            "telephone_number": "516-783-3420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLY",
        "first_name": "CHRISTOPHER",
        "middle_name": "FRANCIS",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-10-29",
        "last_updated": "2020-10-29",
        "certification_date": "2020-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "046472",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "WebPT",
            "affiliation": "N",
            "endpointDescription": "EMR",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4007 Merrick Rd",
            "city": "Seaford",
            "state": "NY",
            "country_code": "US",
            "postal_code": "117832831",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Kimberly Karcz
• Yvonne Katsigiorgis, MA,CCC-SLP
• Rebecca L Keenan, LMSW
• Megan Louise Keller
• Suanne Keller
• Michaela Rose Kelly, CCC-SLP
• Anne Marie Kenniff
• Patricia Kilduff
• Dawn Kinsley, LMSW
• Samantha Kirincic

• Physical Therapist in Seaford, NY
• Providers in Seaford, 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 Oct 29, 2020; 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.