Active NPI
Jason Lee Kelsey, DPT
- Physical Therapist
- Woodstock, GA
National Provider Identifier
1356434302
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT22862
- Practice address
- 2295 Towne Lake Pkwy
Suite 148
Woodstock, GA 30189-5520 - Phone
- (770) 926-2744
- Fax
- (770) 926-2794
- NPI assigned
- Oct 2, 2006
- Sex
- Male
- 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 | PT22862 | FL | Primary |
Addresses
Primary practice location
2295 Towne Lake Pkwy
Suite 148
Woodstock, GA 30189-5520
Mailing address
8823 Production LN
Ooltewah, TN 37363-6511
Phone (423) 238-7217
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PT22862 | Other | FL | PHYSICAL THERAPIST |
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)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New Day Wellness LLC | Past | Accepting new patients | |
| Nature Coast Orthopaedics & Sports Medicine Clinic, PA | Past | Accepting new patients | |
| Nature Coast Rehabilitation Inc | Past | Accepting new patients |
Networks
- Freedom Health HMO Network
- Optimum HealthCare HMO Network
Organizations & group practices 3
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.
-
- Orthopaedic Surgery Physician
- Beverly Hills, FL
- NPI 1588697551
-
- Physical Therapy Clinic/Center
- Chiefland, FL
- NPI 1609833185
-
- Geriatric Physical Therapist
- Chiefland, FL
- NPI 1063523496
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159747200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1392076800000",
"number": "1356434302",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8823 PRODUCTION LN",
"city": "OOLTEWAH",
"state": "TN",
"postal_code": "373636511",
"telephone_number": "423-238-7217",
"fax_number": "423-954-7408"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2295 TOWNE LAKE PKWY",
"address_2": "SUITE 148",
"city": "WOODSTOCK",
"state": "GA",
"postal_code": "301895520",
"telephone_number": "770-926-2744",
"fax_number": "770-926-2794"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KELSEY",
"first_name": "JASON",
"middle_name": "LEE",
"name_prefix": "Dr.",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-02",
"last_updated": "2014-02-11",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "PT22862",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHYSICAL THERAPIST",
"identifier": "PT22862",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Woodstock, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.