Kelli Sue Allen, PT

Individual provider Active NPI Physical Therapist · Memphis, TN

NPI 1225528482 · NPPES record last updated Aug 4, 2022

Key facts

NPI
1225528482
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapist 225100000X
License
5099 (TN)
Practice address
1244 Primacy Pkwy
Memphis, TN 38119-0201
Phone
(901) 767-8690
Fax
(901) 763-1942
NPI assigned
May 14, 2018
Sex
Female
Sole proprietor
No

Organizations & group practices 1

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
5099TNMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
MSK Group PC Physical Therapist Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 5099 TN Yes

Addresses

Primary practice location

1244 Primacy Pkwy
Memphis, TN 38119-0201

Mailing address

1244 Primacy Pkwy
Memphis, TN 38119-0201
Phone (901) 767-8690

Other practice location 1

85 Market Center Dr
Collierville, TN 38017-6913
Phone (901) 861-9970

Other providers in Memphis, TN

All providers in Memphis, TN · Physical Therapist in Tennessee

Sources for this page

Verify at the official NPI Registry.