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

Olivia Grace Kelly, ATC

Individual provider Sports Medicine (Emergency Medicine) Physician · NPI 1285558767

Olivia Grace Kelly, ATC is a Sports Medicine (Emergency Medicine) Physician in New York, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2026
What do these letters mean?
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.

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Practice location Address checks out

533 W 218th St
New York, NY 10034-1005
Phone: (212) 854-3178
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Sports Medicine (Emergency Medicine) Physician (primary) Taxonomy 207PS0010X · Licence 004195 (NY)

Record details

NPI number1285558767
Entity typeIndividual (Type 1)
GenderFemale
Credentials ATC
Sole proprietorYes
NPI enumeratedAugust 6, 2026
Last updated in NPPESAugust 6, 2026
Certification dateAugust 6, 2026

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