Individual provider · Type 1 NPI

Mikayla Nicole Kelley, PT, DPT

Pediatric Physical Therapist · Clifton Park, NY

NPI number 1538099007 Active

Practice location

515 Moe Rd
Clifton Park, NY 12065-3821

Call (518) 280-4294 Map

Mailing address

32 Coachman Dr
Ballston Spa, NY 12020-2710

Specialties and licenses

TaxonomyCodeLicense
Pediatric Physical Therapist Primary 2251P0200X056168 (NY)

Pediatric Physical Therapist: A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development, genetics, biomechanics, neurological function, neuroscience, and pathology, behavioral sciences, and understanding of diseases or conditions that necessitate physical th…

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About NPI 1538099007

Mikayla Nicole Kelley, PT, DPT's National Provider Identifier is 1538099007, issued on May 19, 2026. The primary taxonomy on file is Pediatric Physical Therapist (2251P0200X), and the practice location is in Clifton Park, NY. The record was last updated on Aug 24, 2026.