Individual provider Active NPI

Kelsey Lowe, LPTA

  • Physical Therapy Assistant
  • Natchez, MS
National Provider Identifier
1336748680
Registry record updated Oct 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
PTA6953 Issued in MS
Practice address
290 SGT Prentiss Dr Ste a
Natchez, MS 39120-4142
Phone
(601) 600-2515
NPI assigned
Oct 19, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X PTA6953 MS Primary

Addresses

Primary practice location

290 SGT Prentiss Dr Ste a
Natchez, MS 39120-4142

Mailing address

20 Oakwood LN
Natchez, MS 39120-5036

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
PTA6953MSMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Ellard Physical Therapy CurrentSince Oct 25, 2020 Accepting new patients
Kelley Therapy Center PastSince Oct 25, 2020 Accepting new patients

Locations

290 Sgt Prentiss Dr
Ste A
Natchez, MS 39120
Phone (601) 520-1826

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": "1603065600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603065600000",
    "number": "1336748680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 OAKWOOD LN",
            "city": "NATCHEZ",
            "state": "MS",
            "postal_code": "391205036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "290 SGT PRENTISS DR STE A",
            "city": "NATCHEZ",
            "state": "MS",
            "postal_code": "391204142",
            "telephone_number": "601-600-2515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOWE",
        "first_name": "KELSEY",
        "credential": "LPTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-19",
        "last_updated": "2020-10-19",
        "certification_date": "2020-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "MS",
            "license": "PTA6953",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Natchez, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.