Paul Colin Kelly, MSPT

Primary specialty

Sports Physical TherapistTaxonomy code 2251S0007X

License

019028 Issued in NY

Practice address

113 E 23Rd St
New York, NY 10010-4507

Phone

(646) 742-0165

NPI assigned

Dec 20, 2006

Sex

Male

Sole proprietor

No

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

Enrolled in NY

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Metro Sports Physical Therapy PCGroup PAC ID 5698925857, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Metro Sports Physical Therapy PC

  • Physical Therapy Clinic/Center
  • New York, NY
  • NPI 1245447663
  Medicare reassignment Care Compare group
• Metro Sports Physical Therapy PC

  • Physical Therapy Clinic/Center
  • Garden City, NY
  • NPI 1184972879
  NPD
• Sports Physical Therapy of New York, P.C.

  • Physical Therapist
  • Manlius, NY
  • NPI 1912950072

  Sports

  NPD (past)

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

{
    "created_epoch": "1166572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1831253533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "340 E 85TH ST APT 3B",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100284580",
            "telephone_number": "516-456-1241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 E 23RD ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100104507",
            "telephone_number": "646-742-0165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLY",
        "first_name": "PAUL",
        "middle_name": "COLIN",
        "credential": "MSPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251S0007X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Sports",
            "state": "NY",
            "license": "019028",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Olivia Grace Kelly, ATC
• Paige Brewster Kelly
• Patrick J Kelly, M.D.
• Patrick John Kelly, DPT
• Paul Kelly, MA, LMHC, CSAT
• Paulette M Kelly, F.N.P
• Rachel Kelly, DPT
• Robert E. Kelly
• Ryan Lee Kelly, PT, DPT
• Sarah Kelly, M.D.

• Sports Physical Therapist in New York, NY
• Providers in New York, NY by specialty
• Sports Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.