Kelly R Grimes, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT001507 Issued in GA

Practice address

1203 N Columbia Dr
Milledgeville, GA 31061-2395

Phone

(478) 452-6200

NPI assigned

Jul 26, 2008

Last updated

Sep 1, 2010By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Hospice Care Options Inc

  • Community Based Hospice Care Agency
  • Macon, GA
  • NPI 1639177397
  NPD (past)

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

{
    "created_epoch": "1217030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1283299200000",
    "number": "1215192471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "354 BARROWS FERRY RD NE",
            "city": "MILLEDGEVILLE",
            "state": "GA",
            "postal_code": "310618423",
            "telephone_number": "478-251-2812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1203 N COLUMBIA DR",
            "city": "MILLEDGEVILLE",
            "state": "GA",
            "postal_code": "310612395",
            "telephone_number": "478-452-6200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIMES",
        "first_name": "KELLY",
        "middle_name": "R",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-07-26",
        "last_updated": "2010-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT001507",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Claire Greenway
• Gregory M. Graham, DMD,LLC
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• John E. Griffin III, D.P.T., PT
• Kimberly Lynn Griffin, FNP-C
• Emmett Lee Griswold
• H & M Drugs (H and M Drugs Inc)
• Henry Grady Hall, D.M.D
• Zaida Hall
• Hanger Prosthetics & Orthotics Inc (Hanger Clinic)

• Physical Therapist in Milledgeville, GA
• Providers in Milledgeville, GA by specialty
• Physical Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.