Individual provider Active NPI

Kelly Cecelia Whelan

  • Physical Therapist
National Provider Identifier
1992665988
Registry record updated Nov 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
054651-01 Issued in NY
Practice address
305 Charlton Ave West
Unit 2
Hamilton, ONTARIO L8P 2E4
CA
NPI assigned
Nov 13, 2025
Last updated
Nov 13, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 13, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 054651-01 NY Primary

Addresses

Primary practice location

305 Charlton Ave West
Unit 2
Hamilton, ONTARIO L8P 2E4
CA

Mailing address

305 Charlton Ave West
Unit 2
Hamilton, ONTARIO L8P 2E4
CA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260309001065 NY Practitioner - Physical Therapist in Private Practice 6305329319 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sana Physical Therapy, PLLCGroup PAC ID 8628433257, 7 clinicians

Practice addresses (Care Compare)

123 Grey St
Suite 5
East Aurora, NY 14052-2144
Phone (716) 671-7262

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
054651-01NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Physical Therapy Services of Flatiron PC Physical Therapist CurrentSince Jan 6, 2026 Accepting new patients

Locations

138 5th Ave
Fl 2
New York, NY 10011
Phone (212) 287-4257

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1762992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762992000000",
    "number": "1992665988",
    "addresses": [
        {
            "country_code": "CA",
            "country_name": "Canada",
            "address_purpose": "MAILING",
            "address_type": "FGN",
            "address_1": "305 CHARLTON AVE WEST",
            "address_2": "UNIT 2",
            "city": "HAMILTON",
            "state": "ONTARIO",
            "postal_code": "L8P 2E4"
        },
        {
            "country_code": "CA",
            "country_name": "Canada",
            "address_purpose": "LOCATION",
            "address_type": "FGN",
            "address_1": "305 CHARLTON AVE WEST",
            "address_2": "UNIT 2",
            "city": "HAMILTON",
            "state": "ONTARIO",
            "postal_code": "L8P 2E4"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHELAN",
        "first_name": "KELLY",
        "middle_name": "CECELIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-11-13",
        "last_updated": "2025-11-13",
        "certification_date": "2025-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "054651-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 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.

Verify at the official NPI Registry.