Individual provider Active NPI

Kelly Ann McDonald, PT

  • Physical Therapist
  • Huntersville, NC
National Provider Identifier
1235218033
Registry record updated Aug 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT8400 Issued in GA
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

Updated by the provider on Aug 29, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
PT8400OtherGASTATE LISC NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, SC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20161114000818 NC Practitioner - Physical Therapist in Private Practice 9234288119 Reassigns benefits to 4 organizations
I20170104001907 SC Practitioner - Physical Therapist in Private Practice 9234288119 Reassigns benefits to 3 organizations

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

LicenseStateTypeSpecialty
PT8400GAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Benchmark Physical Therapy of North Carolina LLC Physical Therapist CurrentSince Oct 15, 2016 Accepting new patients
Agilitas USA Inc Physical Therapist CurrentSince Aug 29, 2024 Accepting new patients
Drayer Physical Therapy - South Carolina, LLC Physical Therapist CurrentSince Aug 29, 2024 Accepting new patients
Drayer Physical Therapy-South Carolina, LLC Physical Therapist CurrentSince Aug 29, 2024 Accepting new patients
Agilitas USA, Inc Physical Therapist CurrentSince Aug 29, 2024 Accepting new patients
Benchmark Physical Therapy of NC, LLC Physical Therapist CurrentSince Oct 15, 2016 Accepting new patients
Drayer Physical Therapy of North Carolina LLC Physical Therapist CurrentSince Aug 1, 2025 Accepting new patients
Physical Therapy and Hand Specialist, LLC CurrentSince Jun 1, 2017 Accepting new patients
Physical Therapy and Hand Specialists, LLC Physical Therapist CurrentSince Jun 1, 2017 Accepting new patients
Benchmark Healthcare Services, LLC Physical Therapist CurrentSince Aug 29, 2024 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.

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.

Verify at the official NPI Registry.