WILLIAM KELLEY PT
NPI 1720285067
Physical Therapist - Geriatrics in Fort Walton Beach, FL

Q: What is William Kelley's NPI number?

The NPI number for William Kelley is 1720285067. It was assigned to this individual provider in the NPPES registry on June 29, 2007.

Q: What is William Kelley's specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Geriatrics, with taxonomy code 2251G0304X.

Q: When was this NPI record last updated?

The NPPES record for William Kelley was last updated on October 15, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.

Active since June 29, 2007Accepts Medicare Assignment

417 RACETRACK RD NW, FORT WALTON BEACH, FL 32547(850) 461-0058(850) 362-6521 Get Directions Write a Review

NPPES record last updated: October 15, 2016. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About William Kelley Pt NPPES

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

WILLIAM KELLEY PT (NPI 1720285067) is an individual geriatrics provider in Fort Walton Beach, Florida, licensed in Florida (PT7407) and active in the NPI registry since June 2007. He is a graduate of Other (1991).

NPPES Registry Identity

NPI1720285067

Entity TypeIndividualMale

Primary Taxonomy2251G0304X

Provider Legal NameWILLIAM KELLEYCredential: PT

Location Address417 RACETRACK RD NWFort Walton Beach, FL 32547-4612

Mailing Address417 Racetrack Rd NwFort Walton Beach, FL 32547-4612 · (850) 461-0058 · Fax (850) 362-6521

Phone(850) 461-0058

Fax(850) 362-6521

Sole ProprietorNo

Medical School CMSOtherGraduated 1991

Enumeration DateJune 29, 2007

Last NPPES UpdateOctober 15, 2016

✔ NPI 1720285067 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical Therapist · GeriatricsRespiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy Code2251G0304X

License✔ Licensed in FL · PT7407

Definition

A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Geriatric Physical Therapy, who has demonstrated specialized knowledge and skill in the comprehensive biopsychosocial assessment and evidence-based management of movement in aging adults. This includes, but is not limited to, specialized knowledge in and consideration of normal age-related changes and pathological manifestations across all systems; cognition and mental health; polypharmacy; fall risk mitigation; bone health; healthy and active aging, and socioeconomic and health policy issues affecting aging adults. The geriatric physical therapist is an integral part of the interdisciplinary geriatric team and serves as an advocate for the highest level of well-being for the older adult.

417 RACETRACK RD NW, Fort Walton Beach, FL 32547

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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

William Kelley Pt 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 ID749569713

PECOS Enrollment IDI20161115001018

Medicare Billing Reassignment

Medicare enrollment records show William Kelley reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Healing You Therapy, PLLC

Same address

Physical Therapy

417 RACETRACK RD NW
Fort Walton Beach, FL 32547

Reassigned Medicare billing, Florida enrollment

NPI 1043665748 (850) 461-0058

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

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes 97112

This therapy helps retrain your brain, nerves, and muscles to work together. Through targeted exercises, your body learns to regain lost functions or improve current abilities. Each session lasts 15 minutes.

2,041 services41 patients

Application of electrical stimulation with therapist present, each 15 minutes 97032

Electrical stimulation is a therapeutic treatment that sends light electrical pulses to a specific area of your body. This is done under the supervision of a therapist for 15-minute intervals. It can reduce pain, stimulate muscles, and improve circulation.

452 services33 patients

Evaluation for physical therapy, typically 20 minutes 97161

An evaluation for physical therapy is a short, 20-minute assessment where your physical condition, mobility, and pain levels are examined. This helps in designing a personalized therapy plan to enhance your physical function and well-being.

48 services32 patients

Other Providers at the Same Location NPPES 10

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

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