Carol Ann Kelly, PT
Individual provider Active NPI Physical Therapist · Bearsville, NY
NPI 1952519944 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1952519944
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 011489 (NY)
- Practice address
- 241 Coldbrook Rd
Bearsville, NY 12409-5708 - Phone
- (845) 679-3819
- NPI assigned
- May 21, 2007
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 011489 | NY | Yes |
Addresses
Primary practice location
241 Coldbrook Rd
Bearsville, NY 12409-5708
Mailing address
241 Coldbrook Rd
Bearsville, NY 12409-5708
Phone (845) 679-3819
Other providers in Bearsville, NY
- Virginia Carroll Doran
- Mimosa Gordon
- Elizabeth Hollenbeck
- Paula Jayne Kindos-Carberry
- Amanda E Lehrer
- Jennifer Ruth Mehlich
- John Conrad Satriani
- Brendan Sheridan
All providers in Bearsville, NY · Physical Therapist in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.