Mrs Kathleen Petrie Kelly, PT is a
Physical Therapist based in Rockaway Point, New York. Mrs Kathleen Petrie Kelly is licensed to practice in New York (license number 0172331) and her current practice location is
4 Kildare Walk, Rockaway Point, New York. She can be reached at her office (for appointments etc.) via phone at
(718) 634-5674.
NPI number for Mrs Kathleen Petrie Kelly is 1174739882 and her current mailing address is 4 Kildare Walk, Rockaway Point, New York. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1174739882.
Healthcare Provider's Profile
Full Name | Mrs Kathleen Petrie Kelly |
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Gender | Female |
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Speciality | Physical Therapist |
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Location | 4 Kildare Walk, Rockaway Point, New York |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1174739882
- Provider Enumeration Date: 05/16/2007
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Mrs Kathleen Petrie Kelly such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1174739882 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225100000X | Physical Therapist | 0172331 (New York) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Kathleen Petrie Kelly is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mrs Kathleen Petrie Kelly, PT 4 Kildare Walk, Rockaway Point, NY 11697 Ph: (718) 634-5674 | Mrs Kathleen Petrie Kelly, PT 4 Kildare Walk, Rockaway Point, NY 11697-1708 Ph: (718) 634-5674 |
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