Active NPI
Kezley Anderson, DPT
- Physical Therapist
- Cleveland, TN
National Provider Identifier
1003784018
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 15905
- Practice address
- 2305 Chambliss Ave NW
Cleveland, TN 37311-3847 - Phone
- (423) 559-6080
- NPI assigned
- Oct 29, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 15905 | TN | Primary |
Addresses
Primary practice location
2305 Chambliss Ave NW
Cleveland, TN 37311-3847
Mailing address
2305 Chambliss Ave NW
Cleveland, TN 37311-3847
Phone (423) 559-6080
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260508003038 | TN | Practitioner - Physical Therapist in Private Practice | 5698243509 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Lincoln Memorial University Medical Department, 2024
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
7219 Aventine Way Apt
Suite 104
Chattanooga, TN 37421-4177
PO Box
Suite 2095
Cleveland, TN 37320
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
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- Cleveland, TN
- NPI 1710727540
TN
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1761696000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1761696000000",
"number": "1003784018",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2305 CHAMBLISS AVE NW",
"city": "CLEVELAND",
"state": "TN",
"postal_code": "373113847",
"telephone_number": "423-559-6080"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2305 CHAMBLISS AVE NW",
"city": "CLEVELAND",
"state": "TN",
"postal_code": "373113847",
"telephone_number": "423-559-6080"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANDERSON",
"first_name": "KEZLEY",
"credential": "DPT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-10-29",
"last_updated": "2025-10-29",
"certification_date": "2025-10-29",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": "TN",
"license": "15905",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cleveland, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.