Lauren Elizabeth Kelly, PT
Individual provider Active NPI Physical Therapist · Knoxville, TN
NPI 1144936600 · NPPES record last updated Oct 13, 2023
Key facts
- NPI
- 1144936600
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 13545 (TN)
- Practice address
- 9430 Park West Blvd Ste 230
Knoxville, TN 37923-4204 - Phone
- (865) 560-8550
- Fax
- (865) 560-8551
- NPI assigned
- Jan 27, 2023
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 10
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- P4 Physical Therapy Limited Partnership
Practice addresses (Care Compare)
7212 Kingston Pike
Suite 105
Knoxville, TN 37919-5956
Phone (865) 770-5100
Merit-based Incentive Payment System (MIPS)
- Final score
- 81.78 of 100
- Quality
- 65.3
- Promoting interoperability
- 96
- Improvement activities
- 40
- Cost
- 77.31
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TN
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230608000205 | TN | Practitioner - Physical Therapist in Private Practice | 5799142667 |
Reassigns benefits to 2 organizations Practice locations: Knoxville, TN |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| P4 Physical Therapy Limited Partnership | Physical Therapist | Current |
Accepting new patients |
| P4 Physical Therapy Limited Partnership | Physical Therapist | Current |
Accepting new patients |
| Tennessee Orthopaedic Alliance PA | Current |
Accepting new patients | |
| Tennessee Orthopaedic Alliance PA | Current | Accepting new patients | |
| Tennessee Orthopaedic Alliance PA | Current |
Accepting new patients |
Locations
203 Narrows Pkwy
Ste D
Birmingham, AL 35242
Phone (205) 719-2420
1819 Clinch Ave
Ste 100
Knoxville, TN 37916
Phone (865) 524-5305
7212 Kingston Pike
Ste 105
Knoxville, TN 37919
Phone (856) 770-5100
9430 Park West Blvd
Ste 230
Knoxville, TN 37923
Phone (865) 560-8550
8 City Blvd
Ste 100
Nashville, TN 37209
Phone (615) 263-0155
1679 Veterans Blvd
Sevierville, TN 37862
Phone (865) 401-9062
Interoperability endpoints
- laurene.kelly.p2@direct.toa.nextgenshare.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 13545 | TN | Yes |
Addresses
Primary practice location
9430 Park West Blvd Ste 230
Knoxville, TN 37923-4204
Mailing address
PO Box 306556
Nashville, TN 37230-6556
Phone (865) 694-0062
Other practice location 1
1679 Veterans Blvd
Sevierville, TN 37862-6958
Phone (865) 690-4861
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Q080936 | Medicaid | TN |
Other providers in Knoxville, TN
- Dana Elizabeth Kelly
- Donna June Kelly
- Elizabeth Rowan Kelly
- Erin Kelly
- Jaan Kelly
- Melanie W. Kelly
- Michael Edward Kelly
- Paul Kelly
- Thomas J Kelly
- Virginia Lane Kelly
All providers in Knoxville, TN · Physical Therapist in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 13, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.