Active NPI
Kelly Sue Gaygen, PT
- Physical Therapist
- Lockport, NY
National Provider Identifier
1730809443
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 8684-01
- Practice address
- 397 Davison Rd
Lockport, NY 14094-4005 - Phone
- (716) 266-5252
- Fax
- (716) 546-2223
- NPI assigned
- Sep 1, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 008684-1 | NY | |
| Physical Therapist | 225100000X | 8684-01 | NY | Primary |
Addresses
Primary practice location
397 Davison Rd
Lockport, NY 14094-4005
Mailing address
PO Box 287
Gasport, NY 14067
Phone (716) 255-6262
Other practice location 1
8410 Maplewood Drive
Gasport, NY 14067-0287
Phone (716) 280-1454
Other names 1
- Kelly Gaygen
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- State University of New York at Buffalo School of Medicine, 1985
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
8410 Maplewood Dr
Gasport, NY 14067-9478
Phone (716) 266-5252
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 008684-1 | NY | MD | Physical Therapist |
| 8684-01 | NY | MD | Physical Therapist |
Organizations & group practices 1
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.
-
- Physical Medicine & Rehabilitation Physician
- Lockport, NY
- NPI 1588412233
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1661990400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1750032000000",
"number": "1730809443",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 287",
"city": "GASPORT",
"state": "NY",
"postal_code": "14067",
"telephone_number": "716-255-6262"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "397 DAVISON RD",
"city": "LOCKPORT",
"state": "NY",
"postal_code": "140944005",
"telephone_number": "716-266-5252",
"fax_number": "716-546-2223"
}
],
"practiceLocations": [
{
"address_1": "8410 Maplewood Drive",
"address_purpose": "LOCATION",
"city": "Gasport",
"state": "NY",
"postal_code": "140670287",
"country_code": "US",
"telephone_number": "716-280-1454",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GAYGEN",
"first_name": "KELLY",
"middle_name": "SUE",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-09-01",
"last_updated": "2025-06-16",
"certification_date": "2025-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "008684-1",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": "NY",
"license": "8684-01",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KELLY",
"last_name": "GAYGEN",
"credential": "KELLY GAYGEN, BSPT",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Lockport, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2025; 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.