Keely Peterson Brown, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

P22144 Issued in NC

Practice address

107 Triton LN
Surf City, NC 28445-6923

Phone

(910) 803-2040

Fax

(910) 803-2050

NPI assigned

Sep 4, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Providence Physical Therapy, LLCGroup PAC ID 8426313925, 4 clinicians

Benchmark Physical Therapy of North Carolina, LLCGroup PAC ID 1052609278, 242 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Providence Physical Therapy, LLC

  • Physical Therapy Clinic/Center
  • Surf City, NC
  • NPI 1326564287

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• Benchmark Physical Therapy of North Carolina LLC

  • Physical Therapist
  • Ooltewah, TN
  • NPI 1356894604

  NC

  Medicare reassignment Care Compare group NPD
• Benchmark Physical Therapy of NC, LLC

  • Physical Therapist
  • Leland, NC
  • NPI 1588189112
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1378252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776297600000",
    "number": "1366877870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 TRITON LN",
            "city": "SURF CITY",
            "state": "NC",
            "postal_code": "284456923",
            "telephone_number": "910-803-2040",
            "fax_number": "910-803-2050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 TRITON LN",
            "city": "SURF CITY",
            "state": "NC",
            "postal_code": "284456923",
            "telephone_number": "910-803-2040",
            "fax_number": "910-803-2050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "KEELY",
        "middle_name": "PETERSON",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-04",
        "last_updated": "2026-04-16",
        "certification_date": "2026-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "P22144",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Benchmark Physical Therapy of NC, LLC
• Chad Douglas Bender, PHARMD
• Big Moves Physical Therapy LLC
• James S Blair III, MD
• McKenzie Lauree Blom, LCSW-ASSOCIATE
• Sandra Thompson Brown, M.S.
• Jennifer Nicole Buchanan, PHARMD
• Margaret Lillian Byram, PA-C
• William Jeffrey Callard, MD
• Trudy Mary Cook, LCSW, P.C.

• Physical Therapist in Surf City, NC
• Providers in Surf City, NC by specialty
• Physical Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2026; 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.