Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Ryan Lee Kelly, PT, DPT

Individual provider Physical Therapist · NPI 1073193934

Dr. Ryan Lee Kelly, PT, DPT is registered under Physical Therapist in Private Practice in New York, New York. Qualified in 2020, 6 years ago. Licensed in New York.

Years since qualifying
6
Licensed in
NY
In the registry since
2021
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

95 Chambers St
New York, NY 10007-2095
Phone: (646) 973-5437
Fax: (212) 379-2096
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 047018-01 (NY)

Record details

NPI number1073193934
Entity typeIndividual (Type 1)
GenderMale
Credentials PT , DPT
Sole proprietorNo
NPI enumeratedApril 13, 2021
Last updated in NPPESApril 13, 2021
Certification dateApril 13, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Accepts Medicare assignment Not indicated

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