KELLY HALLER-GILMOUR PT
NPI 1194918763
Physical Therapist in Newington, CT

Active since August 27, 2007
505 WILLARD AVE STE 1, NEWINGTON, CT 06111(860) 665-8265 Get Directions Write a Review

NPPES record last updated: April 30, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Kelly Haller-gilmour Pt NPPES

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

KELLY HALLER-GILMOUR PT (NPI 1194918763) is an individual physical therapist in Newington, Connecticut and active in the NPI registry since August 2007.

NPPES Registry Identity

NPI1194918763
Entity TypeIndividualFemale
Primary Taxonomy225100000X
Provider Legal NameKELLY HALLER-GILMOURCredential: PT
Location Address505 WILLARD AVE STE 1Newington, CT 06111-2630
Mailing Address59 Olde Hall RdHebron, CT 06248-1209
Sole ProprietorNo
Enumeration DateAugust 27, 2007
Last NPPES UpdateApril 30, 2021
NPPES CertifiedApril 30, 2021
✔ NPI 1194918763 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
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.
505 WILLARD AVE STE 1, Newington, CT 06111

Other Identifiers 1

Other4309CT · License#

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kelly Haller-gilmour Pt is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

Medicare enrollment records show Kelly Haller-gilmour reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Same address
Physical Therapy
505 WILLARD AVE, BUILDING 1, SUITE 1D
Newington, CT 06111
  • Reassigned Medicare billing, Connecticut enrollment
  • 101 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 3

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

Physical Therapist
505 WILLARD AVE STE 1
NEWINGTON, CT 06111
Occupational Therapist
505 WILLARD AVE STE 1
NEWINGTON, CT 06111
Physical Therapist
505 WILLARD AVE STE 1
NEWINGTON, CT 06111

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 Kelly Haller-gilmour's NPI number?

The NPI number for Kelly Haller-gilmour is 1194918763. It was assigned to this individual provider in the NPPES registry on August 27, 2007.

Where is Kelly Haller-gilmour located?

Kelly Haller-gilmour practices at 505 Willard Ave Ste 1, Newington, CT 06111. The listed phone number is (860) 665-8265.

What is Kelly Haller-gilmour's specialty?

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

Is Kelly Haller-gilmour enrolled in Medicare?

Yes. Kelly Haller-gilmour is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kelly Haller-gilmour's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kelly Haller-gilmour reassigns Medicare benefits to Ptsma, Inc. (Newington, CT). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kelly Haller-gilmour's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Kelly Haller-gilmour was last updated on April 30, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.