Kelly Ann Tully, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

014270 Issued in NY

Practice address

10 Rosemont CT
Greenlawn, NY 11740-1811

Phone

(631) 385-8779

NPI assigned

Sep 19, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Merit-based Incentive Payment System (MIPS)

Final score

77.35 of 100Reported as group

Quality

73.31

Improvement activities

40

Cost

73.42

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1348012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348012800000",
    "number": "1821348673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 ROSEMONT CT",
            "city": "GREENLAWN",
            "state": "NY",
            "postal_code": "117401811",
            "telephone_number": "631-385-8779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 ROSEMONT CT",
            "city": "GREENLAWN",
            "state": "NY",
            "postal_code": "117401811",
            "telephone_number": "631-385-8779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TULLY",
        "first_name": "KELLY",
        "middle_name": "ANN",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-09-19",
        "last_updated": "2012-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "014270",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brandon Simon Tetlak, DPT
• Maryanne Tierney, LCSW
• John Tloczkowski, MD
• Lee Ann Tricarico-Floman, P.A.
• Josephine Triolo, MS
• Grace Tyndall, MD
• Madeleine Andree Upston
• Value Drugs Greenlawn Inc
• Vecchione Psychological Services, P.C.
• Carla Jo Vecchione, PH.D.

• Physical Therapist in Greenlawn, NY
• Providers in Greenlawn, 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 Sep 19, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.