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

Kelly O'Mara

Individual provider Physical Medicine & Rehabilitation Physician · NPI 1679304315

Kelly O'Mara is a Physical Therapist in Private Practice in Manlius, New York. Graduated from State University of Ny Upstate Medical University in 2024, 2 years ago. Practices with Sports Physical Therapy of New York, PC, a 84-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
2
Trained at
State University of Ny Upstate Medical University
Licensed in
NY
In the registry since
2024

Practice location Address checks out

240 W Seneca St Ste 12
Manlius, NY 13104-2422
Phone: (315) 682-0325
Show map & directions

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

Specialties & licences

Physical Medicine & Rehabilitation Physician (primary) Taxonomy 208100000X · Licence 053100 (NY)

Record details

NPI number1679304315
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 13, 2024
Last updated in NPPESAugust 13, 2024
Certification dateAugust 13, 2024

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolSTATE UNIVERSITY OF NY UPSTATE MEDICAL UNIVERSITY
Graduated 2024 (2 years in practice)
Group practice Sports Physical Therapy Of New York, P.C. — 84 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount