Individual provider · Type 1 NPI

Kelly Carelock, PTA

Pediatric Rehabilitation Medicine Physician · Elgin, OK

NPI number 1831904192 Active

Practice location

9201 OK-17, Suite F
Elgin, OK 73538

Mailing address

1409 NE Scenic Rdg
Elgin, OK 73538-4200

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant 225200000X2960 (OK)
Pediatric Rehabilitation Medicine Physician Primary 2081P0010X2960 (OK)

Pediatric Rehabilitation Medicine Physician: A physiatrist who utilizes an interdisciplinary approach and addresses the prevention, diagnosis, treatment and management of congenital and childhood-onset physical impairments including related or secondary medical, physical, functional, psychosocial and vocational limitations or conditions, with an understanding of the life course of disability. This physician is trained in the identification of functional capabi…

About NPI 1831904192

Kelly Carelock, PTA's National Provider Identifier is 1831904192, issued on Feb 12, 2025. The primary taxonomy on file is Pediatric Rehabilitation Medicine Physician (2081P0010X), and the practice location is in Elgin, OK. The record was last updated on Feb 12, 2025.