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

Kelly A Gardner, DPT

Individual provider Physical Therapist · NPI 1184620478

Kelly A Gardner, DPT is a Physical Therapist in Private Practice in Clayton, New York. Qualified in 2013, 13 years ago. Practices with South Jefferson Physical Therapy PC, a 4-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in New York.

Years since qualifying
13
Licensed in
NY
In the registry since
2005
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

See every abbreviation used in this directory →

Practice location Address checks out

307 Riverside Dr
Clayton, NY 13624-1022
Phone: (315) 285-5159
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 70 N Main St, Adams, NY 13605-3102 — (315) 232-2225

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 014782 (NY)

Record details

NPI number1184620478
Entity typeIndividual (Type 1)
GenderFemale
Credentials DPT
Sole proprietorNo
NPI enumeratedJune 22, 2005
Last updated in NPPESDecember 13, 2023
Certification dateDecember 13, 2023

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 South Jefferson Physical Therapy Pc — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Clayton