Individual provider Active NPI

Kelci Lizbeth Ollio, PT, DPT

  • Physical Therapist
  • Gibsonia, PA
National Provider Identifier
1295340248
Registry record updated Apr 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT014951 Issued in GA
Practice address
617 Warrendale Rd Ste B
Gibsonia, PA 15044-8083
Phone
(878) 978-2777
Fax
(412) 567-5714
NPI assigned
Sep 15, 2020
Last updated
Apr 18, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2023

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 PT014951 GA Primary

Addresses

Primary practice location

617 Warrendale Rd Ste B
Gibsonia, PA 15044-8083

Mailing address

1200 Corporate Dr Ste 400
Hoover, AL 35242-5424
Phone (423) 238-7217

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, PA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20210128001942 GA Practitioner - Physical Therapist in Private Practice 6608280847 Reassigns benefits to 2 organizations
I20230517000008 PA Practitioner - Physical Therapist in Private Practice 6608280847 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Drayer Physical Therapy Institute LLC Physical Therapist CurrentSince Jan 20, 2023 Accepting new patients
Drayer Physical Therapy Institute LLC CurrentSince Jan 20, 2023 Accepting new patients
Drayer Physical Therapy Institute LLC Physical Therapist Current Accepting new patients
Atlanta South Physical Therapy, Inc Physical Therapist CurrentSince May 29, 2021 Accepting new patients
Independent Physical Therapy of Georgia, LLC Physical Therapist CurrentSince Sep 29, 2020 Accepting new patients
Benchmark Physical Therapy, Inc CurrentSince May 29, 2021 Accepting new patients
Independent Physical Therapy of Georgia, LLC Physical Therapist CurrentSince Sep 29, 2020 Accepting new patients

Locations

1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568

1025 E West Connector
Ste 406
Austell, GA 30106
Phone (770) 384-1001

1275 Highway 54 W
Ste 200
Fayetteville, GA 30214
Phone (770) 460-8609

7130 Mount Zion Blvd
Ste 9
Jonesboro, GA 30236
Phone (770) 603-5660

20 Market St
Ste 102
St Simons Island, GA 31522
Phone (912) 634-5885

20397 Route 19
Ste 220
Cranberry Twp, PA 16066
Phone (724) 270-3349

617 Warrendale Rd
Ste B
Gibsonia, PA 15044
Phone (878) 978-2777

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1600128000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681776000000",
    "number": "1295340248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 CORPORATE DR STE 400",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352425424",
            "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": "617 WARRENDALE RD STE B",
            "city": "GIBSONIA",
            "state": "PA",
            "postal_code": "150448083",
            "telephone_number": "878-978-2777",
            "fax_number": "412-567-5714"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLLIO",
        "first_name": "KELCI",
        "middle_name": "LIZBETH",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-15",
        "last_updated": "2023-04-18",
        "certification_date": "2023-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT014951",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gibsonia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.