Individual provider Active NPI

Caroline Ashlyn Kelly, DPT

  • Physical Therapist
  • Decatur, GA
National Provider Identifier
1306566997
Registry record updated Aug 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT016222 Issued in GA
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

Updated by the provider on Aug 17, 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 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

Enrollment IDStateProvider typePAC IDDetails
I20221004001699 GA Practitioner - Physical Therapist in Private Practice 6709262405 Reassigns benefits to 2 organizations

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
BJT and AssociatesGroup PAC ID 6002719291, 7 clinicians

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 100Reported as group
Quality
87.86
Improvement activities
40
Cost
61.36

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
BJT & Associates Physical Therapist CurrentSince Jun 2, 2025 Accepting new patients
Team Rehabilitation Services, LLC Physical Therapist CurrentSince Jul 23, 2023 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.

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.

Verify at the official NPI Registry.