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KELLY CHIROPRACTIC WELLNESS CENTER PC
NPI 1790937365
Chiropractor in Chester, NY

Active since October 15, 2008
45 BROOKSIDE AVE., CHESTER, NY 10918(845) 610-5555(845) 610-5556 Get Directions Write a Review

NPPES record last updated: November 27, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Kelly Chiropractic Wellness Center Pc NPPES

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

KELLY CHIROPRACTIC WELLNESS CENTER PC (NPI 1790937365) is a healthcare organization registered as a chiropractor in Chester, New York and active in the NPI registry since October 2008. The organization lists Patrick Kelly, Owner, as its authorized official.

NPPES Registry Identity

NPI1790937365
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameKELLY CHIROPRACTIC WELLNESS CENTER PC
Location Address45 BROOKSIDE AVE.Chester, NY 10918-1409
Mailing Address45 Brookside Ave.Chester, NY 10918-1409 · (845) 610-5555 · Fax (845) 610-5556
Phone(845) 610-5555
Fax(845) 610-5556
Organization SubpartNo
Authorized OfficialPatrick KellyOwner · (845) 469-2224
Enumeration DateOctober 15, 2008
Last NPPES UpdateNovember 27, 2019
✔ NPI 1790937365 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in NY · XO11238-1
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
45 BROOKSIDE AVE., Chester, NY 10918
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kelly Chiropractic Wellness Center Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Kelly Chiropractic Wellness Center PC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Patrick Kelly, DC
Chiropractic
NPI 1326023169
807 FRANKLIN AVE
Franklin Lakes, NJ 07417
(201) 891-5599
✔ Accepts Medicare23 mi

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

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 Chiropractic Wellness Center PC's NPI number?

The NPI number for Kelly Chiropractic Wellness Center PC is 1790937365. It was assigned to this organization in the NPPES registry on October 15, 2008.

Where is Kelly Chiropractic Wellness Center PC located?

Kelly Chiropractic Wellness Center PC is located at 45 Brookside Ave., Chester, NY 10918. The listed phone number is (845) 610-5555.

What is Kelly Chiropractic Wellness Center PC's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Kelly Chiropractic Wellness Center PC enrolled in Medicare?

Yes. Kelly Chiropractic Wellness Center PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Kelly Chiropractic Wellness Center PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to Kelly Chiropractic Wellness Center PC. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Kelly Chiropractic Wellness Center PC was last updated on November 27, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.