KELLY O'MARA
NPI 1679304315
Physical Medicine & Rehabilitation in Manlius, NY

Active since August 13, 2024Accepts Medicare Assignment
240 W SENECA ST STE 12, MANLIUS, NY 13104(315) 682-0325 Get Directions Write a Review

NPPES record last updated: August 13, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Kelly O'mara NPPES

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

KELLY O'MARA (NPI 1679304315) is an individual physical medicine & rehabilitation provider in Manlius, New York, licensed in New York (053100) and active in the NPI registry since August 2024. She is a graduate of State University Of Ny Upstate Medical University (2024).

NPPES Registry Identity

NPI1679304315
Entity TypeIndividualFemale
Primary Taxonomy208100000X
Provider Legal NameKELLY O'MARA
Location Address240 W SENECA ST STE 12Manlius, NY 13104-2422
Mailing Address144 Harding StSyracuse, NY 13208-2405 · (315) 440-4432
Sole ProprietorNo
Medical School CMSState University Of Ny Upstate Medical UniversityGraduated 2024
Enumeration DateAugust 13, 2024
NPPES CertifiedAugust 13, 2024
✔ NPI 1679304315 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical Medicine & RehabilitationAllopathic & Osteopathic Physicians
Taxonomy Code208100000X
License✔ Licensed in NY · 053100
Definition
Physical medicine and rehabilitation, also referred to as rehabilitation medicine, is the medical specialty concerned with diagnosing, evaluating, and treating patients with physical disabilities. These disabilities may arise from conditions affecting the musculoskeletal system such as neck and back pain, sports injuries, or other painful conditions affecting the limbs, such as carpal tunnel syndrome. Alternatively, the disabilities may result from neurological trauma or disease such as spinal cord injury, head injury or stroke. A physician certified in physical medicine and rehabilitation is often called a physiatrist. The primary goal of the physiatrist is to achieve maximal restoration of physical, psychological, social and vocational function through comprehensive rehabilitation. Pain management is often an important part of the role of the physiatrist. For diagnosis and evaluation, a physiatrist may include the techniques of electromyography to supplement the standard history, physical, x-ray and laboratory examinations. The physiatrist has expertise in the appropriate use of therapeutic exercise, prosthetics (artificial limbs), orthotics and mechanical and electrical devices.
240 W SENECA ST STE 12, Manlius, NY 13104

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kelly O'mara is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6800336769
PECOS Enrollment IDI20240906002480

Medicare Billing Reassignment

Medicare enrollment records show Kelly O'mara reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Physical Therapist
240 W SENECA ST STE 12
Manlius, NY 13104
  • Reassigned Medicare billing, New York enrollment
  • 111 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 2

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

Physical Therapist
240 W SENECA ST STE 12
MANLIUS, NY 13104
Physical Therapist
240 W SENECA ST STE 12
MANLIUS, NY 13104

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 O'mara's NPI number?

The NPI number for Kelly O'mara is 1679304315. It was assigned to this individual provider in the NPPES registry on August 13, 2024.

Where is Kelly O'mara located?

Kelly O'mara practices at 240 W Seneca St Ste 12, Manlius, NY 13104. The listed phone number is (315) 682-0325.

What is Kelly O'mara's specialty?

The primary specialty registered for this NPI is Physical Medicine & Rehabilitation with taxonomy code 208100000X.

Is Kelly O'mara enrolled in Medicare?

Yes. Kelly O'mara is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Kelly O'mara's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kelly O'mara reassigns Medicare benefits to Sports Physical Therapy Of New York, P.C. (Manlius, NY). 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 O'mara'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 O'mara was last updated on August 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.