Active NPI
Kelly Ann McDonald, PT
- Physical Therapist
- Huntersville, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT8400
- Practice address
- 16615 W Catawba Ave Ste D
Huntersville, NC 28078-8989 - Phone
- (704) 987-4322
- Fax
- (704) 987-7959
- NPI assigned
- Nov 3, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | CP033497T | SC | |
| Physical Therapist | 225100000X | PT8400 | GA | Primary |
Addresses
Primary practice location
16615 W Catawba Ave Ste D
Huntersville, NC 28078-8989
Mailing address
8823 Production LN
Ooltewah, TN 37363-6511
Phone (423) 238-7217
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PT8400 | Other | GA | STATE LISC NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC, SC
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
10020 Monroe Rd
Suite 160
Matthews, NC 28105-5492
Phone (704) 841-0894
130 Venture LN
Statesville, NC 28625-2740
Phone (980) 223-8790
146 Mooresville Commons Way
Suite 5E
Mooresville, NC 28117-8938
Phone (980) 444-0906
16615 W Catawba Ave
Suite D
Huntersville, NC 28078-8989
Phone (704) 987-4322
167 Cross Ctr Rd
Denver, NC 28037-5009
Phone (704) 951-8320
275 Smokey Park Hwy
Suite 225
Asheville, NC 28806-1294
Phone (828) 220-4300
3016 Weddington Rd
Suite 700
Matthews, NC 28105-7655
Phone (980) 920-8090
350 George W Liles Pkwy NW
Suite 130
Concord, NC 28027-2408
Phone (704) 782-8036
603 Highland St
Mount Holly, NC 28120-2185
Phone (980) 277-8916
61 Weaver Blvd
Suite 118
Weaverville, NC 28787-9804
Phone (828) 519-9070
624 Jetton St
Suite 260
Davidson, NC 28036-9332
Phone (980) 306-5333
825 Spartanburg Hwy
Suite 14
Hendersonville, NC 28792-4770
Phone (828) 595-9652
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT8400 | GA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Benchmark Physical Therapy of North Carolina LLC | Physical Therapist | Current | Accepting new patients |
| Agilitas USA Inc | Physical Therapist | Current | Accepting new patients |
| Drayer Physical Therapy - South Carolina, LLC | Physical Therapist | Current | Accepting new patients |
| Drayer Physical Therapy-South Carolina, LLC | Physical Therapist | Current | Accepting new patients |
| Agilitas USA, Inc | Physical Therapist | Current | Accepting new patients |
| Benchmark Physical Therapy of NC, LLC | Physical Therapist | Current | Accepting new patients |
| Drayer Physical Therapy of North Carolina LLC | Physical Therapist | Current | Accepting new patients |
| Physical Therapy and Hand Specialist, LLC | Current | Accepting new patients | |
| Physical Therapy and Hand Specialists, LLC | Physical Therapist | Current | Accepting new patients |
| Benchmark Healthcare Services, LLC | Physical Therapist | Current | Accepting new patients |
Locations
1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568
207 E Meadow Rd
Ste 3
Eden, NC 27288
Phone (336) 627-3771
16615 W Catawba Ave
Ste D
Huntersville, NC 28078
Phone (704) 987-4322
10020 Monroe Rd
Ste 160
Matthews, NC 28105
Phone (704) 841-0894
1901 NW Cary Pkwy
Ste 110
Morrisville, NC 27560
Phone (919) 678-1525
1520 Sunday Dr
Ste 105
Raleigh, NC 27607
Phone (919) 420-1682
1017 Fording Island Rd
#F101
Bluffton, SC 29910
Phone (843) 815-2563
908 Smithfield Way
Ste 104
Fort Mill, SC 29715
Phone (803) 470-4933
1000 Tanner Ford Blvd
Ste 370
Hanahan, SC 29410
Phone (843) 718-1058
7585 Saint Andrews Rd
Irmo, SC 29063
Phone (803) 749-5031
3032 W Montague Ave
Ste 101
North Charleston, SC 29418
Phone (843) 885-8772
6397 Lee Hwy
Ste 300
Chattanooga, TN 37421
Phone (423) 238-8923
8823 Production Ln
Ooltewah, TN 37363
Phone (423) 238-8923
Organizations & group practices 10
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
- Raleigh, NC
- NPI 1740605096
-
- Physical Therapist
- Greensboro, NC
- NPI 1518382357
-
- Physical Therapy Clinic/Center
- Hixson, TN
- NPI 1962417444
NC, Physical Therapist, SC
-
- Physical Therapist
- Columbia, SC
- NPI 1841622354
-
- Physical Therapist
- Leland, NC
- NPI 1588189112
-
- Physical Therapy Clinic/Center
- Reidsville, NC
- NPI 1205251964
-
- Physical Therapist
- Camden, SC
- NPI 1154816833
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162512000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1724889600000",
"number": "1235218033",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8823 PRODUCTION LN",
"city": "OOLTEWAH",
"state": "TN",
"postal_code": "373636511",
"telephone_number": "423-238-7217",
"fax_number": "423-238-3473"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16615 W CATAWBA AVE STE D",
"city": "HUNTERSVILLE",
"state": "NC",
"postal_code": "280788989",
"telephone_number": "704-987-4322",
"fax_number": "704-987-7959"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCDONALD",
"first_name": "KELLY",
"middle_name": "ANN",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-03",
"last_updated": "2024-08-29",
"certification_date": "2024-08-29",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "SC",
"license": "CP033497T",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "GA",
"license": "PT8400",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LISC NUMBER",
"identifier": "PT8400",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Huntersville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2024; 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.