Individual provider Active NPI

Kelci Taylor, DPT

  • Physical Therapist
  • Smyrna, TN
National Provider Identifier
1407303985
Registry record updated Feb 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
11002 Issued in TN
Practice address
323 Sam Ridley Pkwy W
Smyrna, TN 37167-5625
Phone
(615) 751-5211
Fax
(615) 751-8049
NPI assigned
Sep 1, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2025

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 11002 TN Primary

Addresses

Primary practice location

323 Sam Ridley Pkwy W
Smyrna, TN 37167-5625

Mailing address

8823 Production LN
Ooltewah, TN 37363-6511
Phone (423) 238-7217

Other names 1

  • Kelci Dyan Peck Other name

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://www.cms.gov/research-statistics-data-systems/electronic-submission-medical-documentation-esmd/cms-health-information-handler Other Fox Rehabilitation Services TN LLC

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160920000849 TN Practitioner - Physical Therapist in Private Practice 5092002048 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2016
Medicare assignment
May accept Medicare assignment
Group practices
Fox Rehabilitation Services TN LLCGroup PAC ID 8921363771, 73 clinicians

Practice addresses (Care Compare)

Spring Hill, TN 37174
Phone (877) 407-3422

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Fox Rehabilitation Services TN LLC Physical Therapist CurrentSince Jan 1, 2022 Accepting new patients
Advanced Diagnostic Imaging, PC Physical Therapist CurrentSince Jun 2, 2018 Accepting new patients
Tennessee Luna Care Physical Therapy LLC Physical Therapist CurrentSince Dec 10, 2021 Accepting new patients
Advanced Diagnostic Imaging PC CurrentSince Jun 2, 2018 Accepting new patients

Locations

5016 Centennial Blvd
Ste 200
Nashville, TN 37209
Phone (615) 212-8284

3443 Dickerson Pike
Ste 400
Nashville, TN 37207
Phone (615) 612-2146

3056 Miles Johnson Pkwy
Spring Hill, TN 37174
Phone (931) 451-0009

Organizations & group practices 4

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": "1472688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738627200000",
    "number": "1407303985",
    "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": "423-238-3473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "323 SAM RIDLEY PKWY W",
            "city": "SMYRNA",
            "state": "TN",
            "postal_code": "371675625",
            "telephone_number": "615-751-5211",
            "fax_number": "615-751-8049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "KELCI",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-01",
        "last_updated": "2025-02-04",
        "certification_date": "2025-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": "11002",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://www.cms.gov/research-statistics-data-systems/electronic-submission-medical-documentation-esmd/cms-health-information-handler",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.13.34.110.1.998.01",
            "affiliationName": "Fox Rehabilitation Services TN LLC",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "3056 Miles Johnson Pkwy",
            "city": "Spring Hill",
            "state": "TN",
            "country_code": "US",
            "postal_code": "371744564",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "KELCI",
            "last_name": "PECK",
            "middle_name": "DYAN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Smyrna, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2025; 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.