Individual provider Active NPI

Lindsey Marie Kellman, PT, DPT

  • Physical Therapist
  • Charleston, SC
National Provider Identifier
1720623598
Registry record updated May 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
12298 Issued in SC
Practice address
1941 Savage Rd Ste 300a
Charleston, SC 29407-4790
Phone
(843) 402-1495
Fax
(843) 402-1285
NPI assigned
Nov 15, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 7, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 043839 NY
Physical Therapist 225100000X SC
Physical Therapist 225100000X 12298 SC Primary

Addresses

Primary practice location

1941 Savage Rd Ste 300a
Charleston, SC 29407-4790

Mailing address

790 Remington Blvd
Bolingbrook, IL 60440-4909

Other practice location 1

200 Park Ave
New York, NY 10166-0005
Phone (212) 953-9494

Other practice location 2

496 Smithtown Byp Ste 200
Smithtown, NY 11787-5011
Phone (631) 361-5300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, SC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20191121002837 NY Practitioner - Physical Therapist in Private Practice 0941632434 Reassigns benefits to 4 organizations
I20240722003466 SC Practitioner - Physical Therapist in Private Practice 0941632434 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Smith Nurse Practitioner in Family Health PCGroup PAC ID 5496284630, 2 clinicians

Practice addresses (Care Compare)

10 Old Riverhead Rd
Unit a
Westhampton Beach, NY 11978-1460
Phone (631) 369-4292

300 E Main St
Suite 2
Smithtown, NY 11787-2900
Phone (631) 780-6128

Merit-based Incentive Payment System (MIPS)

Final score
86.49 of 100Reported as group
Quality
89.43
Improvement activities
40
Cost
74.33

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
043839NYMDPhysical Therapist
12298SCMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Recovery Physical Therapy, P.C. Physical Therapist CurrentSince Nov 20, 2019 Accepting new patients
Kalter Physical Medicine & Rehabilitation PC CurrentSince Aug 31, 2021 Accepting new patients
Smith Nurse Practitioner in Family Health P.C. CurrentSince Aug 12, 2025 Accepting new patients
Seaford Family Health NP PC CurrentSince Apr 25, 2025 Accepting new patients
RSFH - Ati Physical Therapy, LLC Physical Therapist CurrentSince May 6, 2024 Accepting new patients
RSFH - Ati Physical Therapy, LLC Physical Therapist CurrentSince May 6, 2024 Accepting new patients
Recovery Physical Therapy,PC Physical Therapist CurrentSince Nov 20, 2019 Accepting new patients
MK Spine and Joint Rehab, P.C. PastSince Aug 31, 2021 Accepting new patients

Locations

790 Remington Blvd
Bolingbrook, IL 60440

33299 Collection Ctr Dr
Chicago, IL 60693

1385 Boston Post Rd
Larchmont, NY 10538
Phone (914) 315-1800

200 Park Ave
New York, NY 10166
Phone (212) 953-9494

118 E 28th St
Rm 208
New York, NY 10016
Phone (646) 654-7835

300 E Main St
Ste 2
Smithtown, NY 11787
Phone (631) 780-6128

496 Smithtown Byp
Ste 200
Smithtown, NY 11787
Phone (631) 361-5300

10 Old Riverhead Rd
Unit A
Westhampton Beach, NY 11978
Phone (631) 369-4292

1941 Savage Rd
Ste 300A
Charleston, SC 29407
Phone (843) 402-1495

9241 University Blvd
Ste B1
North Charleston, SC 29406
Phone (843) 414-1140

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/23033/brand/1/csg/1/fhir/r4

Organizations & group practices 8

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": "1573776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715040000000",
    "number": "1720623598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "790 REMINGTON BLVD",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604404909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1941 SAVAGE RD STE 300A",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294074790",
            "telephone_number": "843-402-1495",
            "fax_number": "843-402-1285"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 Park Ave",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "101660005",
            "country_code": "US",
            "telephone_number": "212-953-9494",
            "fax_number": "212-682-2013",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "496 Smithtown Byp Ste 200",
            "address_purpose": "LOCATION",
            "city": "Smithtown",
            "state": "NY",
            "postal_code": "117875011",
            "country_code": "US",
            "telephone_number": "631-361-5300",
            "fax_number": "631-361-5301",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KELLMAN",
        "first_name": "LINDSEY",
        "middle_name": "MARIE",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-15",
        "last_updated": "2024-05-07",
        "certification_date": "2024-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "043839",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": "12298",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charleston, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2024; 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.