Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kellen Scantlebury

Individual provider Physical Therapist · NPI 1326477498

Kellen Scantlebury is a Physical Therapist in Private Practice in Hauppauge, New York. Qualified in 2013, 13 years ago. Practices with Kellen Ryan Scantlebury Physical Therapy PLLC, a 5-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
13
Licensed in
NY
In the registry since
2013
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Practice location Address checks out

611 Old Willets Path Ste 105
Hauppauge, NY 11788-4115
Phone: (631) 232-5350
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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 P90296 (NY)

Record details

NPI number1326477498
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedNovember 8, 2013
Last updated in NPPESNovember 8, 2013

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Kellen Ryan Scantlebury Physical Therapy Pllc — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Hauppauge