Active NPI
Kelley Patton, P.T.
- Physical Therapist
- Daphne, AL
National Provider Identifier
1013916014
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PTH1593
- 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
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 | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 51514018 | Other | AL | BLUE CROSS/BLUE SHIELD |
| 630997518 | Other | AL | COMMERCIAL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
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
| License | State | Type | Specialty |
|---|---|---|---|
| PTH1593 | AL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Baldwin Bone & Joint P C | Current | Accepting new patients | |
| Baldwin Bone & Joint P C | Past | 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.
-
- Orthopaedic Surgery Physician
- Spanish Fort, AL
- NPI 1316877764
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.