DR. THERESA KELLY PT, DPT, MS ED
NPI 1104711951
Physical Therapist in Garden City, NY

Active since June 11, 2025
800 E GATE BLVD, GARDEN CITY, NY 11530(973) 332-1377 Get Directions Write a Review

NPPES record last updated: June 11, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Theresa Kelly Pt, Dpt, Ms Ed NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. THERESA KELLY PT, DPT, MS ED (NPI 1104711951) is an individual physical therapist in Garden City, New York, licensed in New Jersey (40QA00538500) and active in the NPI registry since June 2025. She is a graduate of Other (2007).

NPPES Registry Identity

NPI1104711951
Entity TypeIndividualFemale
Primary Taxonomy225100000X
Provider Legal NameDR. THERESA KELLYCredential: PT, DPT, MS ED
Location Address800 E GATE BLVDGarden City, NY 11530-2105
Mailing Address24 Oakley WayWayne, NJ 07470-3015 · (973) 332-1377
Sole ProprietorYes
Medical School CMSOtherGraduated 2007
Enumeration DateJune 11, 2025
NPPES CertifiedJune 11, 2025
NPI 1104711951 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
License Licensed in NJ · 40QA00538500
Definition
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:
  • Diagnose and manage movement dysfunction and enhance physical and functional abilities.
  • Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
  • Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
  • Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
  • Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.
Also ListedPhysical Therapist · GeriatricsTaxonomy 2251G0304X · License 40QA00538500 (NJ)
Also ListedPhysical Therapist · PediatricsTaxonomy 2251P0200X · License 40QA00538500 (NJ)
800 E GATE BLVD, Garden City, NY 11530

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Theresa Kelly Pt, Dpt, Ms Ed is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6103331004
PECOS Enrollment IDI20250710004378

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Occupational Therapist
800 E GATE BLVD
GARDEN CITY, NY 11530
Physical Therapist
800 E GATE BLVD
GARDEN CITY, NY 11530
Physical Therapist
800 E GATE BLVD
GARDEN CITY, NY 11530
Occupational Therapist
800 E GATE BLVD
GARDEN CITY, NY 11530
Physical Therapist
800 E GATE BLVD
GARDEN CITY, NY 11530
Physical Therapist
800 E GATE BLVD
GARDEN CITY, NY 11530
Occupational Therapist
800 E GATE BLVD
GARDEN CITY, NY 11530
Occupational Therapist
800 E GATE BLVD
GARDEN CITY, NY 11530

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Theresa Kelly's NPI number?

The NPI number for Theresa Kelly is 1104711951. It was assigned to this individual provider in the NPPES registry on June 11, 2025.

Where is Theresa Kelly located?

Theresa Kelly practices at 800 E Gate Blvd, Garden City, NY 11530. The listed phone number is (973) 332-1377.

What is Theresa Kelly's specialty?

The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.

Is Theresa Kelly enrolled in Medicare?

Yes. Theresa Kelly is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Theresa Kelly was last updated on June 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.