Individual provider Active NPI

Kelsey Pelfrey, PT

  • Physical Therapist
  • Winston Salem, NC
National Provider Identifier
1023600756
Registry record updated Feb 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
P20155 Issued in NC
Practice address
111 Hanestown CT Ste 151
Winston Salem, NC 27103-1749
Phone
(336) 765-9350
NPI assigned
Feb 4, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2025

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 P20155 NC Primary

Addresses

Primary practice location

111 Hanestown CT Ste 151
Winston Salem, NC 27103-1749

Mailing address

847 Westlake Drive
Mount Airy, NC 27030
Phone (336) 783-9400

Other practice location 1

1908 Caudle Dr Ste 101
Mount Airy, NC 27030-4322
Phone (336) 789-9076

Other practice location 2

847 Westlake Drive
Mount Airy, NC 27030
Phone (336) 783-9400

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210413001889 NC Practitioner - Physical Therapist in Private Practice 9436567302 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Uwh of the Carolinas PLLCGroup PAC ID 0042448169, 329 clinicians

Practice addresses (Care Compare)

445 Pineview Dr
Suite 110
Kernersville, NC 27284-3818
Phone (336) 765-9350

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Uwh of the Carolinas, PLLC CurrentSince Feb 1, 2025 Accepting new patients
Choice Physical Therapy & Wellness, Inc Physical Therapist CurrentSince Feb 1, 2021 Accepting new patients

Locations

1908 Lendew St
Greensboro, NC 27408
Phone (336) 273-2835

445 Pineview Dr
Ste 110
Kernersville, NC 27284
Phone (336) 993-4352

1908 Caudle Dr
Ste 101
Mount Airy, NC 27030
Phone (336) 789-9076

847 Westlake Dr
Mount Airy, NC 27030
Phone (336) 719-7892

1806 S Hawthorne Rd
Winston Salem, NC 27103
Phone (336) 768-3632

111 Hanestown Ct
#151
Winston Salem, NC 27103
Phone (919) 334-0150

Interoperability endpoints

  • Direct secure messaging: kelsey.pelfrey.1@7773.direct.athenahealth.com

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": "1612396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738627200000",
    "number": "1023600756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "847 WESTLAKE DRIVE",
            "city": "MOUNT AIRY",
            "state": "NC",
            "postal_code": "27030",
            "telephone_number": "336-783-9400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 HANESTOWN CT STE 151",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271031749",
            "telephone_number": "336-765-9350"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1908 Caudle Dr Ste 101",
            "address_purpose": "LOCATION",
            "city": "Mount Airy",
            "state": "NC",
            "postal_code": "270304322",
            "country_code": "US",
            "telephone_number": "336-789-9076",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "847 WESTLAKE DRIVE",
            "address_purpose": "LOCATION",
            "city": "MOUNT AIRY",
            "state": "NC",
            "postal_code": "27030",
            "country_code": "US",
            "telephone_number": "336-783-9400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PELFREY",
        "first_name": "KELSEY",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-04",
        "last_updated": "2025-02-04",
        "certification_date": "2025-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "P20155",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winston Salem, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 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.

Verify at the official NPI Registry.