Active NPIIndividual providerSole proprietor

Dr. Theresa Kelly, PT, DPT, MS ED

Physical Therapist in Garden City, New York

NPI Number1104711951
Practice location
800 E Gate Blvd, Garden City, NY 11530-2105
Fax
—
Last updated
June 11, 2025

Theresa Kelly is a Physical Therapist based in Garden City, NY. Theresa Kelly practices in Garden City, NY and has the professional credentials of PT, DPT, MS ED. The NPI Number for Theresa Kelly is 1104711951 and holds a License No. 40QA00538500 (NJ). The current practice location address for Theresa Kelly is 800 E Gate Blvd, Garden City, NY 11530-2105 and can be reached out via phone at 973-332-1377.

Provider Profile Details

NPI Number
1104711951
Provider Name
Theresa Kelly
Credential
PT, DPT, MS ED
Provider Entity Type
Individual
Gender
Female
Address
800 E Gate Blvd, Garden City, NY 11530-2105
Phone Number
973-332-1377
Primary Taxonomy
Physical Therapist · 225100000X
Sole Proprietor
Yes
Provider Enumeration Date
June 11, 2025
Last Update Date
June 11, 2025
Certification Date
June 11, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
800 E Gate Blvd
Garden City, NY 11530-2105
Zip
11530-2105
Phone Number
973-332-1377
Garden City, NY 11530Get directions →

Provider Business Mailing Address Details

Address
24 Oakley Way
Wayne, NJ 07470-3015
City
Wayne
State
NJ
Zip
07470-3015
Phone Number
973-332-1377

License Information

License Number (1)
40QA00538500
License State (1)
NJ
Taxonomy (1)
Physical Therapist, Pediatrics · 2251P0200X
License Number (2)
40QA00538500
License State (2)
NJ
Taxonomy (2)
Physical Therapist · 225100000X · Primary
License Number (3)
40QA00538500
License State (3)
NJ
Taxonomy (3)
Physical Therapist, Geriatrics · 2251G0304X

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Theresa Kelly, PT, DPT, MS ED?

The NPI number of Dr. Theresa Kelly, PT, DPT, MS ED is 1104711951. It was assigned on June 11, 2025 and is currently active in the NPPES registry.

What is the specialty of Dr. Theresa Kelly, PT, DPT, MS ED?

Dr. Theresa Kelly, PT, DPT, MS ED is registered under the primary taxonomy Physical Therapist (code 225100000X), licensed in NJ under license number 40QA00538500.

Where does Dr. Theresa Kelly, PT, DPT, MS ED practice?

The practice location is 800 E Gate Blvd, Garden City, NY 11530-2105. The office can be reached at 973-332-1377 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1104711951 directly on the NPPES registry website.

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