Individual provider Active NPI

Kelly Ann Downing, P.T.

  • Physical Therapist
  • Land O Lakes, FL
National Provider Identifier
1205041902
Registry record updated Jun 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT14208 Issued in FL
Practice address
6348 Discovery LN
Land O Lakes, FL 34638-3132
Phone
(813) 230-1337
NPI assigned
May 14, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 9, 2021

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 PT14208 FL Primary

Addresses

Primary practice location

6348 Discovery LN
Land O Lakes, FL 34638-3132

Mailing address

6348 Discovery LN
Land O Lakes, FL 34638-3132
Phone (813) 230-1337

Other identifiers 1

IdentifierTypeStateIssuer
891614400MedicaidFL

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171023001811 FL Practitioner - Physical Therapist in Private Practice 1951677731 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Baylor College of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Spotherapies LLCGroup PAC ID 1658769930, 2 clinicians

Practice addresses (Care Compare)

2017 Riegler Rd
Land O Lakes, FL 34639-5328
Phone (813) 230-1337

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT14208FLMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Spotherapies LLC Physical Therapist CurrentSince Sep 21, 2021 Accepting new patients
Lampert'S Home Therapy, Inc. CurrentSince Jul 26, 2017 Accepting new patients

Locations

2017 Riegler Rd
Land O Lakes, FL 34639
Phone (813) 230-1337

8254 118th Ave
Ste 100
Largo, FL 33773
Phone (727) 451-5304

Organizations & group practices 2

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": "1179100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623196800000",
    "number": "1205041902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6348 DISCOVERY LN",
            "city": "LAND O LAKES",
            "state": "FL",
            "postal_code": "346383132",
            "telephone_number": "813-230-1337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6348 DISCOVERY LN",
            "city": "LAND O LAKES",
            "state": "FL",
            "postal_code": "346383132",
            "telephone_number": "813-230-1337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOWNING",
        "first_name": "KELLY",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "P.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-14",
        "last_updated": "2021-06-09",
        "certification_date": "2021-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT14208",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "891614400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Land O Lakes, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2021; 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.