Individual provider Active NPI

Kelley Anne McMurry, PT

  • Physical Therapist
  • Frankfort, KY
National Provider Identifier
1124682844
Registry record updated Apr 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
003728 Issued in KY
Practice address
122 Leonardwood Dr
Frankfort, KY 40601-4278
Phone
(502) 385-0736
NPI assigned
Apr 29, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2019

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 003728 KY Primary

Addresses

Primary practice location

122 Leonardwood Dr
Frankfort, KY 40601-4278

Mailing address

205 Culpepper CT
Versailles, KY 40383-1378

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190613003076 KY Practitioner - Physical Therapist in Private Practice 9032442645 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Next PT Group Kentucky, LLC Physical Therapist CurrentSince Apr 22, 2019 Accepting new patients

Locations

3310 Tates Creek Rd
Lexington, KY 40502
Phone (859) 203-7899

6000 Hunting Rd
Louisville, KY 40222
Phone (502) 426-1425

6901 Carslaw Ct
Prospect, KY 40059
Phone (502) 480-1794

Organizations & group practices 1

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": "1556496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556496000000",
    "number": "1124682844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 CULPEPPER CT",
            "city": "VERSAILLES",
            "state": "KY",
            "postal_code": "403831378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 LEONARDWOOD DR",
            "city": "FRANKFORT",
            "state": "KY",
            "postal_code": "406014278",
            "telephone_number": "502-385-0736"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCMURRY",
        "first_name": "KELLEY",
        "middle_name": "ANNE",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-29",
        "last_updated": "2019-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KY",
            "license": "003728",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frankfort, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.