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

Thomas Kelly, PHYSICALTHERAPY

Individual provider Physical Therapist · NPI 1245844554

Thomas Kelly, PHYSICALTHERAPY is a Physical Therapist in Massapequa Park, New York. Licensed in New York. Registered with an NPI since 2020.

Licensed in
NY
In the registry since
2020
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Practice location Address checks out

204 Eastlake Ave
Massapequa Park, NY 11762-2145
Phone: (516) 639-3736
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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 037158-1 (NY)

Record details

NPI number1245844554
Entity typeIndividual (Type 1)
GenderMale
Credentials PHYSICALTHERAPY
Sole proprietorNo
NPI enumeratedSeptember 3, 2020
Last updated in NPPESSeptember 3, 2020
Certification dateSeptember 3, 2020

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