Kelsey Cline Johnson, DPT
Individual provider Active NPI Physical Therapist · Memphis, TN
NPI 1154841377 · NPPES record last updated May 15, 2023
Key facts
- NPI
- 1154841377
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- PT0000011383 (TN)
- Practice address
- 80 S Prescott St
Memphis, TN 38111-4635 - Phone
- (901) 257-3422
- Fax
- (901) 257-3423
- NPI assigned
- Jun 20, 2017
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT0000011383 | TN | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Momentum Physical Rehabilitation, LLC | Physical Therapist | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT0000011383 | TN | Yes |
Addresses
Primary practice location
80 S Prescott St
Memphis, TN 38111-4635
Mailing address
80 S Prescott St
Memphis, TN 38111-4635
Phone (901) 257-3422
Other providers in Memphis, TN
- Karen Chandler Johnson
- Katherine Haley Johnson
- Kayanna Johnson
- Kaylan Lynnette Johnson
- Kelcey Johnson
- Kirsten Johnson
- Laqunna Johnson
- Larry Johnson
- Latisha Johnson
- Liji L Johnson
All providers in Memphis, 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 May 15, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.