Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kelly Marie Simon-Vanella, DPT

Individual provider Physical Therapist · NPI 1124596028

Kelly Marie Simon-Vanella, DPT is a Physical Therapist in East Meadow, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2018
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

801 Merrick Ave
East Meadow, NY 11554-4748
Phone: (516) 393-8900
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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 043779 (NY)

Record details

NPI number1124596028
Entity typeIndividual (Type 1)
GenderFemale
Credentials DPT
Sole proprietorYes
NPI enumeratedNovember 8, 2018
Last updated in NPPESApril 1, 2024
Certification dateApril 1, 2024

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