Individual provider Active NPI

Kelley Patton, P.T.

  • Physical Therapist
  • Daphne, AL
National Provider Identifier
1013916014
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PTH1593 Issued in AL
Practice address
6475 Van Buren St
Suite 102
Daphne, AL 36526-7585
Phone
(251) 626-9052
Fax
(251) 626-5384
NPI assigned
Jul 20, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PTH1593 AL Primary

Addresses

Primary practice location

6475 Van Buren St
Suite 102
Daphne, AL 36526-7585

Mailing address

9392 Chamberlain LN
Daphne, AL 36526-6032

Other identifiers 2

IdentifierTypeStateIssuer
51514018OtherALBLUE CROSS/BLUE SHIELD
630997518OtherALCOMMERCIAL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060912000435 AL Practitioner - Physical Therapist in Private Practice 0749284453 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
University of South Alabama College of Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Baldwin Bone and Joint P C 32 clinicians

Practice addresses (Care Compare)

1505 Daphne Ave
Daphne, AL 36526-4298
Phone (251) 625-2663

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PTH1593ALMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Baldwin Bone & Joint P C CurrentSince Nov 25, 2019 Accepting new patients
Baldwin Bone & Joint P C PastSince Nov 25, 2019 Accepting new patients

Locations

1505 Daphne Ave
Daphne, AL 36526
Phone (251) 625-2663

1400 N McKenzie St
Foley, AL 36535
Phone (251) 424-1200

10701 Eastern Shore Blvd
Spanish Fort, AL 36527
Phone (251) 625-2663

Organizations & group practices 2

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1121817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1013916014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9392 CHAMBERLAIN LN",
            "city": "DAPHNE",
            "state": "AL",
            "postal_code": "365266032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6475 VAN BUREN ST",
            "address_2": "SUITE 102",
            "city": "DAPHNE",
            "state": "AL",
            "postal_code": "365267585",
            "telephone_number": "251-626-9052",
            "fax_number": "251-626-5384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATTON",
        "first_name": "KELLEY",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-20",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AL",
            "license": "PTH1593",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "51514018",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMMERCIAL",
            "identifier": "630997518",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Daphne, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.

Verify at the official NPI Registry.