MRS. KATHLEEN PETRIE KELLY PT
NPI 1174739882
Physical Therapist in Rockaway Point, NY
NPI Status: Active since May 16, 2007
Contact Information
4 KILDARE WALK
ROCKAWAY POINT, NY
ZIP 11697
Phone: (718) 634-5674
Fax: (718) 634-5674
- Individual
- Female
- Physical Therapist
- CLIA Number: 33D2064399
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 10-31-2025
About KATHLEEN KELLY
This page provides the complete NPI Profile along with additional information for Kathleen Kelly, a provider established in Rockaway Point, New York with a medical specialization in Physical Therapist. The healthcare provider is registered in the NPI registry with number 1174739882 assigned on May 2007. The practitioner's primary taxonomy code is 225100000X with license number 0172331 (NY). The provider is registered as an individual and her NPI record was last updated 19 years ago.
- NPI
- 1174739882
- Provider Name
- MRS. KATHLEEN PETRIE KELLY PT
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 4 KILDARE WALK ROCKAWAY POINT, NY 11697
- Location Phone
- (718) 634-5674
- Location Fax
- (718) 634-5674
- Mailing Address
- 4 KILDARE WALK ROCKAWAY POINT, NY 11697
- Mailing Phone
- (718) 634-5674
- Mailing Fax
- (718) 634-5674
- Is Sole Proprietor?
- No
- Enumeration Date
- 05-16-2007
- Last Update Date
- 07-08-2007
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Physical Therapist
- Taxonomy Code
- 225100000X
- Type
- Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- License No.
- 0172331
- License State
- NY
- Taxonomy Description
- 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.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 33D2064399
- Facility Type
- Physician Office
- Certificate Effective Date
- June 23, 2022
- Certificate Expiration Date
- October 31, 2025
- Laboratory Director
- DR. ANNE C. HARDICK-DACKO
- Certificate Type
- Certificate of Compliance
- Certificate Type Description
- This CLIA certificate is issued to Kathleen Kelly after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1174739882, we treat the final digit (2) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 68. The final step is to find the difference between that total and the next multiple of ten (70 - 68 = 2).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 68 is 70. The difference is the calculated check digit.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1174739882, enumerated as an "individual" on May 16, 2007.
The provider is located at 4 KILDARE WALK ROCKAWAY POINT, NY 11697 and the phone number is (718) 634-5674.
Physical Therapist with taxonomy code 225100000X.
