Individual provider · Type 1 NPI

Olivia Grace Kelly, ATC

Sports Medicine (Emergency Medicine) Physician · New York, NY

NPI number 1285558767 Active

Practice location

533 W 218th St
New York, NY 10034-1005

Call (212) 854-3178 Map

Mailing address

30 Park Ter E
New York, NY 10034-1513

Specialties and licenses

Taxonomy	Code	License
Sports Medicine (Emergency Medicine) Physician Primary	207PS0010X	004195 (NY)

Sports Medicine (Emergency Medicine) Physician: An emergency physician with special knowledge in sports medicine is responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention and management of injury and illness. A sports medicine physician has knowledge and experience in the promotion of wellness and the role of exercise in promoting a healthy lifestyle. Knowledge of exercise p…

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About NPI 1285558767

Olivia Grace Kelly, ATC's National Provider Identifier is 1285558767, issued on Aug 6, 2026. The primary taxonomy on file is Sports Medicine (Emergency Medicine) Physician (207PS0010X), and the practice location is in New York, NY. The record was last updated on Aug 6, 2026.