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

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: July 19, 2026.

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
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

Medicare Participation & PECOS CMS

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

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

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.
1,446 services30 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.
356 services28 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.
36 services30 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.

Specialist
417 RACETRACK RD NW
FORT WALTON BEACH, FL 32547
Counselor (Mental Health)
417 RACETRACK RD NW
FORT WALTON BEACH, FL 32547
Clinic/Center (Physical Therapy)
417 RACETRACK RD NW
FORT WALTON BEACH, FL 32547
Massage Therapist
417 RACETRACK RD NW
FORT WALTON BEACH, FL 32547
Behavior Technician
417 RACETRACK RD NW
FORT WALTON BEACH, FL 32547
Behavior Technician
417 RACETRACK RD NW
FORT WALTON BEACH, FL 32547
Behavior Technician
417 RACETRACK RD NW
FORT WALTON BEACH, FL 32547
Behavior Technician
417 RACETRACK RD NW
FORT WALTON BEACH, FL 32547

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 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.

Where is William Kelley located?

William Kelley practices at 417 Racetrack Rd NW, Fort Walton Beach, FL 32547. The listed phone number is (850) 461-0058.

What is William Kelley's specialty?

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

Is William Kelley enrolled in Medicare?

Yes. William Kelley 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.

When was this NPI record last updated?

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