Active NPI
Caroline Ashlyn Kelly, DPT
- Physical Therapist
- Decatur, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT016222
- Practice address
- 2836 Lavista Rd Ste 1B
Decatur, GA 30033-1300 - Phone
- (678) 894-4410
- Fax
- (678) 894-4409
- NPI assigned
- Sep 1, 2022
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT016222 | GA | Primary |
Addresses
Primary practice location
2836 Lavista Rd Ste 1B
Decatur, GA 30033-1300
Mailing address
33900 Harper Ave Ste 104
Clinton TWP, MI 48035-4258
Phone (586) 350-2644
Other practice location 1
535 Glynn St S Ste 20082009
Fayetteville, GA 30214-2029
Phone (770) 703-3143
Other practice location 2
680 S 9th St Ste A
Griffin, GA 30224-4216
Phone (770) 229-6141
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2669 Osborne Rd
Atlanta, GA 30319-8400
Phone (404) 477-7777
Merit-based Incentive Payment System (MIPS)
- Final score
- 81.73 of 100
- Quality
- 87.86
- Improvement activities
- 40
- Cost
- 61.36
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| BJT & Associates | Physical Therapist | Current | Accepting new patients |
| Team Rehabilitation Services, LLC | Physical Therapist | Current | Accepting new patients |
Locations
2669 Osborne Rd NE
Brookhaven, GA 30319
Phone (404) 477-7777
2669 Osborne Rd NE
Ste A
Brookhaven, GA 30319
Phone (404) 477-4777
2836 Lavista Rd
Ste 1B
Decatur, GA 30033
Phone (678) 894-4410
975 Dawsonville Hwy
Ste 6
Gainesville, GA 30501
Phone (470) 768-8100
33900 Harper Ave
Ste 104
Clinton Twp, MI 48035
Phone (586) 416-9100
Organizations & group practices 2
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
- Atlanta, GA
- NPI 1427089101
-
- Physical Therapist
- Marietta, GA
- NPI 1508538158
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1661990400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1692230400000",
"number": "1306566997",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "33900 HARPER AVE STE 104",
"city": "CLINTON TWP",
"state": "MI",
"postal_code": "480354258",
"telephone_number": "586-350-2644"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2836 LAVISTA RD STE 1B",
"city": "DECATUR",
"state": "GA",
"postal_code": "300331300",
"telephone_number": "678-894-4410",
"fax_number": "678-894-4409"
}
],
"practiceLocations": [
{
"address_1": "535 Glynn St S Ste 20082009",
"address_purpose": "LOCATION",
"city": "Fayetteville",
"state": "GA",
"postal_code": "302142029",
"country_code": "US",
"telephone_number": "770-703-3143",
"fax_number": "770-703-3162",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "680 S 9th St Ste A",
"address_purpose": "LOCATION",
"city": "Griffin",
"state": "GA",
"postal_code": "302244216",
"country_code": "US",
"telephone_number": "770-229-6141",
"fax_number": "770-229-6142",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KELLY",
"first_name": "CAROLINE",
"middle_name": "ASHLYN",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-09-01",
"last_updated": "2023-08-17",
"certification_date": "2023-08-17",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "GA",
"license": "PT016222",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Decatur, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2023; 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.