MR. GARY LEE KELLEY (PT) – Physical Therapist, NPI 1659474252

MR. GARY LEE KELLEY (PT) is a healthcare provider. based in Bellefontaine, Ohio. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PT. They hold a License No. PT08693 (OH). The NPI Number for MR. GARY LEE KELLEY (PT) is 1659474252

Main info

Male
19 Years Of Experience
Accepts Medicare Assignment
Name
MR. GARY LEE KELLEY (PT)
NPI
1659474252
Phone
(937) 592-1625
Address
711 RUSH AVE
Enumeration Date
7 September 2006
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9375921625
Graduation Year
2007 (19 years ago)
PAC ID
2062686769
Group Practice PAC ID
7214934017
Professional Enrollment ID
I20111115000301
Address ID
OH433112250BE711XXAVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

2,243 PHYSICAL THERAPIST IN PRIVATE PRACTICE in OH

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Provider Addresses for MR. GARY LEE KELLEY (PT)

  • 711, Rush Avenue, Bellefontaine, Lake Township, Logan County, Ohio, 43311, United States

    BELLEFONTAINE, OH 43311

    Phone: (937) 592-1625

    Fax: (937) 592-3489

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2011-11-15

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20111115000301IPhysical Therapist In Private PracticeOHTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
97140Therapy procedure using manual technique, each 15 minutes2,034136$0
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes1,518142$0
97530Therapy procedure using functional activities76099$0
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes675127$0
97035Application of ultrasound, each 15 minutes14314$0
View full utilization report →

Insurance plans in this area (ZIP 43311)

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Provider's Procedures

MR. GARY LEE KELLEY (PT) performs procedures in PHYSICAL THERAPIST IN PRIVATE PRACTICE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PHYSICAL THERAPYOH97110Therapeutic exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes66743

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7214934017View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeOK
Physical Therapist In Private PracticeOH
Physical Therapist In Private PracticeOH
Physical Therapist In Private PracticeOH

Reviews

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Frequently asked questions

What is MR. GARY LEE KELLEY (PT)'s NPI number?
MR. GARY LEE KELLEY (PT)'s NPI is 1659474252 — the number used across U.S. healthcare to identify this provider.
Would MR. GARY LEE KELLEY (PT) appear as active to a payer?
You can treat MR. GARY LEE KELLEY (PT) as active for directory purposes; confirm clinical privileges separately.
What expertise is attributed to MR. GARY LEE KELLEY (PT)?
MR. GARY LEE KELLEY (PT)'s specialty line reads Physical Therapist. Clinical services aligned with this taxonomy classification.
What practice footprint exists for MR. GARY LEE KELLEY (PT)?
Travel planning: use Bellefontaine, Ohio as the reference point for MR. GARY LEE KELLEY (PT), then confirm.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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