Individual provider Active NPI

Theresa L Kelsey, LPT

  • Physical Therapist
  • Stanford, KY
National Provider Identifier
1316963036
Registry record updated May 14, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
003869 Issued in KY
Practice address
123 Frontier Blvd Ste 106
Stanford, KY 40484
Phone
(606) 257-0005
Fax
(606) 262-4132
NPI assigned
Jul 14, 2006
Last updated
May 14, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 14, 2018

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 003869 KY Primary

Addresses

Primary practice location

123 Frontier Blvd Ste 106
Stanford, KY 40484

Mailing address

1464 Amster Grove Rd
Winchester, KY 40391-8073

Other identifiers 1

IdentifierTypeStateIssuer
7100508700MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040505000406 KY Practitioner - Physical Therapist in Private Practice 7113914144 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Osptky LLCGroup PAC ID 6507132107, 30 clinicians

Practice addresses (Care Compare)

230 W Main St
Suite B
Lexington, KY 40507-1340
Phone (859) 303-4312

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
003869KYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Osptky LLC Physical Therapist CurrentSince Feb 1, 2018 Accepting new patients
Lexington Urgent Treatment Associates, PLLC Past Accepting new patients
Osptky LLC Past Accepting new patients
Osptky, LLC Physical Therapist Past Accepting new patients
Drayer Physical Therapy Institute of Kentucky PLLC Physical Therapist Past Accepting new patients

Locations

1868 Plaudit Pl
Ste B
Lexington, KY 40509
Phone (859) 264-0512

230 W Main St
Ste B
Lexington, KY 40507
Phone (859) 303-4312

460 E Brannon Rd
Nicholasville, KY 40356
Phone (859) 887-0599

171 N Keeneland Dr
Richmond, KY 40475
Phone (859) 575-1888

132 Frontier Blvd
Ste 106
Stanford, KY 40484
Phone (606) 257-0005

Organizations & group practices 5

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": "1152835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1526256000000",
    "number": "1316963036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1464 AMSTER GROVE RD",
            "city": "WINCHESTER",
            "state": "KY",
            "postal_code": "403918073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 FRONTIER BLVD STE 106",
            "city": "STANFORD",
            "state": "KY",
            "postal_code": "40484",
            "telephone_number": "606-257-0005",
            "fax_number": "606-262-4132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELSEY",
        "first_name": "THERESA",
        "middle_name": "L",
        "credential": "LPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-14",
        "last_updated": "2018-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KY",
            "license": "003869",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100508700",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Stanford, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2018; 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.