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

Individual provider Pediatric Physical Therapist · NPI 1104711951

Dr. Theresa Kelly, PT, DPT, MSED is a Pediatric Physical Therapist in Garden City, New York. Practices as a sole proprietor. Licensed in New Jersey.

Licensed in
NJ
In the registry since
2025
Specialties on file
3
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

800 E Gate Blvd
Garden City, NY 11530-2105
Phone: (973) 332-1377
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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 40QA00538500 (NJ)
Pediatric Physical Therapist Taxonomy 2251P0200X · Licence 40QA00538500 (NJ)
Geriatric Physical Therapist Taxonomy 2251G0304X · Licence 40QA00538500 (NJ)

Record details

NPI number1104711951
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT , DPT , MSED
Sole proprietorYes
NPI enumeratedJune 11, 2025
Last updated in NPPESJune 11, 2025
Certification dateJune 11, 2025

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