Active NPI
Kyle Trotter Terry, PT, DPT
- Physical Therapist
- Hermitage, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- CP056457T
- Practice address
- 3810 Central Pike Ste 102
Hermitage, TN 37076-3495 - Phone
- (615) 915-5000
- NPI assigned
- Aug 28, 2017
- Sex
- Male
- 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 | CP056457T | TN | Primary |
| Physical Therapist | 225100000X | 7082 | SC | |
| Physical Therapist | 225100000X | P12525 | NC |
Addresses
Primary practice location
3810 Central Pike Ste 102
Hermitage, TN 37076-3495
Mailing address
1200 Corporate Dr Ste 400
Hoover, AL 35242-5424
Phone (423) 702-4389
Other practice location 1
503 Olde Waterford Way Ste 205
Leland, NC 28451
Phone (910) 339-4039
Other practice location 2
1424 Highway 17 N Ste 2
North Myrtle Beach, SC 29582-2507
Phone (843) 427-7132
Other practice location 3
2303 Wellington Dr SW Ste B
Wilson, NC 27893-8620
Phone (252) 243-6818
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3810 Central Pike
Suite 102
Hermitage, TN 37076-3495
Phone (615) 915-5000
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P12525 | NC | MD | Physical Therapist |
| CP056457T | TN | MD | Physical Therapist |
| 7082 | SC | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jacksonville Peak Performance Sports & Physical Therapy, L.L.C. | Current | Accepting new patients |
Locations
2756 Richlands Hwy
Jacksonville, NC 28540
Phone (910) 378-0147
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 Therapist
- Franklin, TN
- NPI 1780291948
-
- Physical Therapy Clinic/Center
- Hixson, TN
- NPI 1962417444
-
- Specialist
- Jacksonville, NC
- NPI 1164482402
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1503878400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1778630400000",
"number": "1164949475",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1200 CORPORATE DR STE 400",
"city": "HOOVER",
"state": "AL",
"postal_code": "352425424",
"telephone_number": "423-702-4389"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3810 CENTRAL PIKE STE 102",
"city": "HERMITAGE",
"state": "TN",
"postal_code": "370763495",
"telephone_number": "615-915-5000"
}
],
"practiceLocations": [
{
"address_1": "503 Olde Waterford Way Ste 205",
"address_purpose": "LOCATION",
"city": "Leland",
"state": "NC",
"postal_code": "28451",
"country_code": "US",
"telephone_number": "910-339-4039",
"fax_number": "910-769-2552",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1424 Highway 17 N Ste 2",
"address_purpose": "LOCATION",
"city": "North Myrtle Beach",
"state": "SC",
"postal_code": "295822507",
"country_code": "US",
"telephone_number": "843-427-7132",
"fax_number": "843-427-7154",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2303 Wellington Dr SW Ste B",
"address_purpose": "LOCATION",
"city": "Wilson",
"state": "NC",
"postal_code": "278938620",
"country_code": "US",
"telephone_number": "252-243-6818",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TERRY",
"first_name": "KYLE",
"middle_name": "TROTTER",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-08-28",
"last_updated": "2026-05-13",
"certification_date": "2026-05-13",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TN",
"license": "CP056457T",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "SC",
"license": "7082",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NC",
"license": "P12525",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hermitage, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 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.