Active NPI
Kelsie Church, PT, DPT
- Sports Physical Therapist
- Lake Mary, FL
National Provider Identifier
1033846241
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Physical Therapist
- Practice address
- 701 Platinum PT
Lake Mary, FL 32746-4871 - Phone
- (407) 338-3161
- NPI assigned
- Aug 7, 2022
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopedic Physical Therapist | 2251X0800X | |||
| Sports Physical Therapist | 2251S0007X | Primary |
Addresses
Primary practice location
701 Platinum PT
Lake Mary, FL 32746-4871
Mailing address
1008 S Mills Ave Apt B
Orlando, FL 32806-1372
Phone (407) 285-7157
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 79.91 of 100
- Quality
- 61.18
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 71.86
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Networks
- Optimum HealthCare HMO Network
- Freedom Health HMO Network
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1659830400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1659830400000",
"number": "1033846241",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1008 S MILLS AVE APT B",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328061372",
"telephone_number": "407-285-7157"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "701 PLATINUM PT",
"city": "LAKE MARY",
"state": "FL",
"postal_code": "327464871",
"telephone_number": "407-338-3161"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHURCH",
"first_name": "KELSIE",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-08-07",
"last_updated": "2022-08-07",
"certification_date": "2022-08-07",
"status": "A"
},
"taxonomies": [
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": null,
"license": null,
"primary": false
},
{
"code": "2251S0007X",
"taxonomy_group": "",
"desc": "Physical Therapist, Sports",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lake Mary, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- 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.