Active NPI
Kelly A Pickens, DPT
- Physical Therapist
- Melbourne, FL
National Provider Identifier
1043731797
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT31671
- Practice address
- 7341 Office Park PL Ste 102
Melbourne, FL 32940 - Phone
- (321) 690-6612
- Fax
- (321) 690-2630
- NPI assigned
- Jul 3, 2017
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT31671 | FL | Primary |
| Physical Therapist | 225100000X | 05012541A | IN | |
| Physical Therapist | 225100000X | 14475 | MN |
Addresses
Primary practice location
7341 Office Park PL Ste 102
Melbourne, FL 32940
Mailing address
24630 Washington Ave
Ste 200
Murrieta, CA 92562-6177
Phone (951) 609-6336
Other practice location 1
3708 Broadway Ave N Ste 110
Rochester, MN 55906-4590
Phone (507) 322-3460
Other practice location 2
3100 19th St NW Ste 200
Rochester, MN 55901-6606
Phone (507) 322-3460
Other practice location 3
1309 Salem Rd SW
Rochester, MN 55902-0993
Phone (507) 322-3460
Other practice location 4
827 High Point Dr NE
Byron, MN 55920-4406
Phone (507) 322-3460
Other practice location 5
1205 N 7th St
Lake City, MN 55041-1264
Phone (507) 322-3460
Other practice location 6
1681 Commerce Dr
North Mankato, MN 56003-1913
Phone (507) 322-3460
Other practice location 7
1600 2nd Ave NW Ste 200
Stewartville, MN 55976-1607
Phone (507) 322-3460
Other practice location 8
4229 W Frontage Rd N
Rochester, MN 55901-4310
Phone (507) 322-3460
Other practice location 9
21 US Highway 41
Schererville, IN 46375-1201
Phone (219) 923-4832
Other practice location 10
2625 Hwy 14 West, Suite HIJ
Rochester, MN 55901
Phone (507) 322-3460
Other practice location 11
660 E Eau Gallie Blvd Ste 106
Indian Harbour Beach, FL 32937-4252
Phone (321) 773-5290
Other practice location 12
3680 N Wickham Rd Ste B
Melbourne, FL 32935-2327
Phone (321) 255-5500
Other practice location 13
4270 Minton Rd Ste 120
West Melbourne, FL 32904-9579
Phone (321) 984-2933
Other practice location 14
417 5th Ave Apt 101
Indialantic, FL 32903-4224
Phone (321) 727-2707
Other practice location 15
300 W Broadway Ste 1
Plainview, MN 55964-1256
Phone (507) 322-3460
Other practice location 16
119 S Main St
Pine Island, MN 55963-7552
Phone (507) 322-3460
Other practice location 17
133 St. Paul Street SW
Preston, MN 55965
Phone (507) 322-3460
Other practice location 18
3020 Broadway Ave N
Rochester, MN 55906-3974
Phone (507) 322-3460
Other practice location 19
1047 N Broadway St
Spring Valley, MN 55975-1031
Phone (507) 322-3460
Other practice location 20
925 Whitewater Ave
Saint Charles, MN 55972-1130
Phone (507) 322-3460
Other practice location 21
1414 S Oak Ave Ste 2
Owatonna, MN 55060-3957
Phone (507) 322-3460
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PT31671 | Other | FL | PT LICENSURE |
Other names 1
- Kelly A Hermes
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20181219000143 | FL | Practitioner - Physical Therapist in Private Practice | 9234400771 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2016
- Medicare assignment
- May accept Medicare assignment
- Group practices
- Total Therapy Florida LLC
Practice addresses (Care Compare)
10940 State Rd 70
Lakewood Ranch, FL 34202-8401
Phone (941) 867-3737
14580 Tamiami TRL
North Port, FL 34287-2708
Phone (941) 200-2570
1499 E Venice Ave
Unit a
Venice, FL 34292-3207
Phone (941) 451-8657
450 S Tamiami TRL
Osprey, FL 34229-9206
Phone (941) 918-9575
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9009 | SC | MD | Counselor |
Practice roles (2 of 3)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Beachside Physical Therapy | Physical Therapist | Current | Accepting new patients |
| Carolina Physical Therapy and Sports Medicine, Inc. | Current | Accepting new patients |
Locations
660 E Eau Gallie Blvd
Ste 106
Indian Harbour Beach, FL 32937
Phone (321) 773-5290
7341 Office Park Pl
Ste 102
Viera, FL 32940
Phone (321) 690-6612
141 Atrium Way
Columbia, SC 29223
Phone (803) 788-8484
75 W Wesmark Blvd
Sumter, SC 29150
Phone (800) 456-5857
Networks
- Freedom Health HMO Network
Organizations & group practices 3
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.
-
- Physical Medicine & Rehabilitation Physician
- Venice, FL
- NPI 1598270407
FL
-
- Physical Therapist
- Viera, FL
- NPI 1952415622
-
- Physical Medicine & Rehabilitation Physician
- Columbia, SC
- NPI 1952491490
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1499040000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1784764800000",
"number": "1043731797",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24630 WASHINGTON AVE",
"address_2": "STE 200",
"city": "MURRIETA",
"state": "CA",
"postal_code": "925626177",
"telephone_number": "951-609-6336",
"fax_number": "951-973-7216"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
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"address_1": "7341 OFFICE PARK PL STE 102",
"city": "MELBOURNE",
"state": "FL",
"postal_code": "32940",
"telephone_number": "321-690-6612",
"fax_number": "321-690-2630"
}
],
"practiceLocations": [
{
"address_1": "3708 Broadway Ave N Ste 110",
"address_purpose": "LOCATION",
"city": "Rochester",
"state": "MN",
"postal_code": "559064590",
"country_code": "US",
"telephone_number": "507-322-3460",
"fax_number": "507-322-3450",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3100 19th St NW Ste 200",
"address_purpose": "LOCATION",
"city": "Rochester",
"state": "MN",
"postal_code": "559016606",
"country_code": "US",
"telephone_number": "507-322-3460",
"fax_number": "507-322-3450",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1309 Salem Rd SW",
"address_purpose": "LOCATION",
"city": "Rochester",
"state": "MN",
"postal_code": "559020993",
"country_code": "US",
"telephone_number": "507-322-3460",
"fax_number": "507-322-3450",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "827 High Point Dr NE",
"address_purpose": "LOCATION",
"city": "Byron",
"state": "MN",
"postal_code": "559204406",
"country_code": "US",
"telephone_number": "507-322-3460",
"fax_number": "507-322-3450",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1205 N 7th St",
"address_purpose": "LOCATION",
"city": "Lake City",
"state": "MN",
"postal_code": "550411264",
"country_code": "US",
"telephone_number": "507-322-3460",
"fax_number": "507-322-3450",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1681 Commerce Dr",
"address_purpose": "LOCATION",
"city": "North Mankato",
"state": "MN",
"postal_code": "560031913",
"country_code": "US",
"telephone_number": "507-322-3460",
"fax_number": "507-322-3450",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1600 2nd Ave NW Ste 200",
"address_purpose": "LOCATION",
"city": "Stewartville",
"state": "MN",
"postal_code": "559761607",
"country_code": "US",
"telephone_number": "507-322-3460",
"fax_number": "507-322-3450",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4229 W Frontage Rd N",
"address_purpose": "LOCATION",
"city": "Rochester",
"state": "MN",
"postal_code": "559014310",
"country_code": "US",
"telephone_number": "507-322-3460",
"fax_number": "507-322-3450",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "21 US Highway 41",
"address_purpose": "LOCATION",
"city": "Schererville",
"state": "IN",
"postal_code": "463751201",
"country_code": "US",
"telephone_number": "219-923-4832",
"fax_number": "219-923-4838",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2625 Hwy 14 West, Suite HIJ",
"address_purpose": "LOCATION",
"city": "Rochester",
"state": "MN",
"postal_code": "55901",
"country_code": "US",
"telephone_number": "507-322-3460",
"fax_number": "507-322-3450",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "660 E Eau Gallie Blvd Ste 106",
"address_purpose": "LOCATION",
"city": "Indian Harbour Beach",
"state": "FL",
"postal_code": "329374252",
"country_code": "US",
"telephone_number": "321-773-5290",
"fax_number": "321-773-5268",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3680 N Wickham Rd Ste B",
"address_purpose": "LOCATION",
"city": "Melbourne",
"state": "FL",
"postal_code": "329352327",
"country_code": "US",
"telephone_number": "321-255-5500",
"fax_number": "327-255-5551",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4270 Minton Rd Ste 120",
"address_purpose": "LOCATION",
"city": "West Melbourne",
"state": "FL",
"postal_code": "329049579",
"country_code": "US",
"telephone_number": "321-984-2933",
"fax_number": "321-953-5379",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "417 5th Ave Apt 101",
"address_purpose": "LOCATION",
"city": "Indialantic",
"state": "FL",
"postal_code": "329034224",
"country_code": "US",
"telephone_number": "321-727-2707",
"fax_number": "321-727-2977",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "300 W Broadway Ste 1",
"address_purpose": "LOCATION",
"city": "Plainview",
"state": "MN",
"postal_code": "559641256",
"country_code": "US",
"telephone_number": "507-322-3460",
"fax_number": "507-322-3450",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "119 S Main St",
"address_purpose": "LOCATION",
"city": "Pine Island",
"state": "MN",
"postal_code": "559637552",
"country_code": "US",
"telephone_number": "507-322-3460",
"fax_number": "507-322-3450",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "133 St. Paul Street SW",
"address_purpose": "LOCATION",
"city": "Preston",
"state": "MN",
"postal_code": "55965",
"country_code": "US",
"telephone_number": "507-322-3460",
"fax_number": "507-322-3450",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3020 Broadway Ave N",
"address_purpose": "LOCATION",
"city": "Rochester",
"state": "MN",
"postal_code": "559063974",
"country_code": "US",
"telephone_number": "507-322-3460",
"fax_number": "507-322-3450",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1047 N Broadway St",
"address_purpose": "LOCATION",
"city": "Spring Valley",
"state": "MN",
"postal_code": "559751031",
"country_code": "US",
"telephone_number": "507-322-3460",
"fax_number": "507-322-3450",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "925 Whitewater Ave",
"address_purpose": "LOCATION",
"city": "Saint Charles",
"state": "MN",
"postal_code": "559721130",
"country_code": "US",
"telephone_number": "507-322-3460",
"fax_number": "507-322-3450",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1414 S Oak Ave Ste 2",
"address_purpose": "LOCATION",
"city": "Owatonna",
"state": "MN",
"postal_code": "550603957",
"country_code": "US",
"telephone_number": "507-322-3460",
"fax_number": "507-322-3450",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PICKENS",
"first_name": "KELLY",
"middle_name": "A",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-07-03",
"last_updated": "2026-07-23",
"certification_date": "2026-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "PT31671",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IN",
"license": "05012541A",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MN",
"license": "14475",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PT LICENSURE",
"identifier": "PT31671",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "KELLY",
"last_name": "HERMES",
"middle_name": "A",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Melbourne, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 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.