Individual provider Active NPI

Lauren Elizabeth Kelly, PT

  • Physical Therapist
  • Knoxville, TN
National Provider Identifier
1144936600
Registry record updated Oct 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
13545 Issued in 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
Last updated
Oct 13, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2023

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 13545 TN Primary

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

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230608000205 TN Practitioner - Physical Therapist in Private Practice 5799142667 Reassigns benefits to 2 organizations
Practice locations: Knoxville, TN

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

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 100Reported as group
Quality
65.3
Promoting interoperability
96
Improvement activities
40
Cost
77.31

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Tennessee Orthopaedic Alliance PA CurrentSince Jan 25, 2023 Accepting new patients
P4 Physical Therapy Limited Partnership Physical Therapist CurrentSince Jan 29, 2024 Accepting new patients
Tennessee Orthopaedic Alliance PA Current Accepting new patients
Tennessee Orthopaedic Alliance PA CurrentSince Jan 25, 2023 Accepting new patients
P4 Physical Therapy Limited Partnership Physical Therapist CurrentSince Jan 29, 2024 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

  • Direct secure messaging: laurene.kelly.p2@direct.toa.nextgenshare.com

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1674777600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697155200000",
    "number": "1144936600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 306556",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372306556",
            "telephone_number": "865-694-0062",
            "fax_number": "865-694-7907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9430 PARK WEST BLVD STE 230",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379234204",
            "telephone_number": "865-560-8550",
            "fax_number": "865-560-8551"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1679 Veterans Blvd",
            "address_purpose": "LOCATION",
            "city": "Sevierville",
            "state": "TN",
            "postal_code": "378626958",
            "country_code": "US",
            "telephone_number": "865-690-4861",
            "fax_number": "865-673-8007",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KELLY",
        "first_name": "LAUREN",
        "middle_name": "ELIZABETH",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-27",
        "last_updated": "2023-10-13",
        "certification_date": "2023-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": "13545",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2023; 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.