Active NPI
Lindsey Marie Kellman, PT, DPT
- Physical Therapist
- Charleston, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 12298
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, SC
Enrollment records 2
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
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 100
- Quality
- 89.43
- Improvement activities
- 40
- Cost
- 74.33
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 043839 | NY | MD | Physical Therapist |
| 12298 | SC | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Recovery Physical Therapy, P.C. | Physical Therapist | Current | Accepting new patients |
| Kalter Physical Medicine & Rehabilitation PC | Current | Accepting new patients | |
| Smith Nurse Practitioner in Family Health P.C. | Current | Accepting new patients | |
| Seaford Family Health NP PC | Current | Accepting new patients | |
| RSFH - Ati Physical Therapy, LLC | Physical Therapist | Current | Accepting new patients |
| RSFH - Ati Physical Therapy, LLC | Physical Therapist | Current | Accepting new patients |
| Recovery Physical Therapy,PC | Physical Therapist | Current | Accepting new patients |
| MK Spine and Joint Rehab, P.C. | Past | 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
- 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.
-
- Family Nurse Practitioner
- Westhampton Beach, NY
- NPI 1366250409
-
- Physical Therapist
- Charleston, SC
- NPI 1912378365
-
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- Smithtown, NY
- NPI 1720526999
-
- Physical Therapist
- Larchmont, NY
- NPI 1821068446
-
- Family Nurse Practitioner
- Smithtown, NY
- NPI 1831956051
-
- Durable Medical Equipment & Medical Supplies
- North Charleston, SC
- NPI 1689405664
Physical Therapist
-
- Physical Therapist
- Glendale, NY
- NPI 1407991805
-
- Pain Clinic/Center
- Hauppauge, NY
- NPI 1699239715
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.