Individual provider Active NPI

Kyle Trotter Terry, PT, DPT

  • Physical Therapist
  • Hermitage, TN
National Provider Identifier
1164949475
Registry record updated May 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
CP056457T Issued in TN
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

Updated by the provider on May 13, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

Enrollment IDStateProvider typePAC IDDetails
I20260528004610 TN Practitioner - Physical Therapist in Private Practice 7416280672 Reassigns benefits to 2 organizations

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
Results-Ast JV LLCGroup PAC ID 4486066396, 390 clinicians

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

LicenseStateTypeSpecialty
P12525NCMDPhysical Therapist
CP056457TTNMDPhysical Therapist
7082SCMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Jacksonville Peak Performance Sports & Physical Therapy, L.L.C. CurrentSince Mar 1, 2020 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.

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.

Verify at the official NPI Registry.