Kelly A Gardner, DPT - Medicare Physical Therapist in Clayton, NY

Kelly A Gardner, DPT is a medicare enrolled "Physical Therapist" provider in Clayton, New York. Her current practice location is 307 Riverside Dr, Clayton, New York. You can reach out to her office (for appointments etc.) via phone at (315) 285-5159.

Kelly A Gardner is licensed to practice in New York (license number 014782) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1184620478.

Contact Information

Kelly A Gardner, DPT
307 Riverside Dr,
Clayton, NY 13624-1022
(315) 285-5159
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameKelly A Gardner
GenderFemale
SpecialityPhysical Therapist
Location307 Riverside Dr, Clayton, New York
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1184620478
  • Provider Enumeration Date: 06/22/2005
  • Last Update Date: 12/13/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 0749520443
  • Enrollment ID: I20190315000985

Medical Identifiers

Medical identifiers for Kelly A Gardner such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1184620478NPI-NPPES
02302812MedicaidNY

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225100000XPhysical Therapist 014782 (New York)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Kelly A Gardner allows following entities to bill medicare on her behalf.
Provider NameNorthern Physical Therapy Llc
Provider TypePart B Supplier - Physical/occupational Therapy Group In Private Practice
Provider IdentifiersNPI Number: 1174624969
PECOS PAC ID: 5092793398
Enrollment ID: O20040713000295
Provider NameSouth Jefferson Physical Therapy Pc
Provider TypePart B Supplier - Physical/occupational Therapy Group In Private Practice
Provider IdentifiersNPI Number: 1407930829
PECOS PAC ID: 8224205604
Enrollment ID: O20120126000029

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kelly A Gardner is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Kelly A Gardner, DPT
70 N Main St,
Adams, NY 13605-3102

Ph: (315) 232-2225
Kelly A Gardner, DPT
307 Riverside Dr,
Clayton, NY 13624-1022

Ph: (315) 285-5159

Reviews and Comments


Physical Therapist in Clayton, NY

Madison Isabella Henning, PT,DPT
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 307 Riverside Dr, Clayton, NY 13624
Phone: 315-686-1757    
Alexis Stewart, PT, DPT
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 307 Riverside Dr, Clayton, NY 13624
Phone: 315-686-1757    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.