Update this page – If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS.
Individual
KELSEY NICOLE O'LEARY
Active
Individual
KELSEY NICOLE O'LEARY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
039240
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
039240
NY PT LINENSING BOARD
NY
01
—
PT5525
ME PT LICENSING BOARD
ME
Enumeration date
02/19/2019
Last updated
12/09/2019
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