Individual provider Active NPI

Kevin Joseph Whelan, DPT

  • Physical Therapist
  • Pelham, NY
National Provider Identifier
1669019048
Registry record updated Dec 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
045047 Issued in NY
Practice address
342 Fifth Ave
Pelham, NY 10803-1204
Phone
(914) 738-1748
NPI assigned
Dec 5, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 045047 NY Primary

Addresses

Primary practice location

342 Fifth Ave
Pelham, NY 10803-1204

Mailing address

651 King Ave
Bronx, NY 10464-1114
Phone (917) 836-9944

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220309002073 CT Practitioner - Physical Therapist in Private Practice 8224455217 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orthopaedic Specialty Group PCGroup PAC ID 8820037898, 61 clinicians

Practice addresses (Care Compare)

305 Black Rock Tpke
Fairfield, CT 06825-5508
Phone (203) 337-2600

Merit-based Incentive Payment System (MIPS)

Final score
75.92 of 100Reported as group
Quality
58.9
Promoting interoperability
82
Improvement activities
40
Cost
75.83

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Performance Physical Therapy of Westport LLC Physical Therapist CurrentSince Mar 2, 2023 Accepting new patients
Orthopaedic Specialty Group, P.C. CurrentSince Jan 1, 2024 Accepting new patients
Orthopaedic Specialty Group, P.C. Past Accepting new patients

Locations

305 Black Rock Tpke
Fairfield, CT 06825
Phone (203) 337-2600

508 Westport Ave
Norwalk, CT 06851
Phone (203) 553-7626

760 River Rd
Shelton, CT 06484
Phone (203) 337-2600

9 W Broad St
Ste 100
Stamford, CT 06902

2909 Main St
Stratford, CT 06614
Phone (203) 377-5108

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1575504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575504000000",
    "number": "1669019048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "651 KING AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104641114",
            "telephone_number": "917-836-9944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "342 FIFTH AVE",
            "city": "PELHAM",
            "state": "NY",
            "postal_code": "108031204",
            "telephone_number": "914-738-1748"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHELAN",
        "first_name": "KEVIN",
        "middle_name": "JOSEPH",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-12-05",
        "last_updated": "2019-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "045047",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pelham, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 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.