Individual provider Active NPI

Kelsey Gregory, PT, DPT

  • Physical Therapist
  • Tucson, AZ
National Provider Identifier
1407460116
Registry record updated Dec 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
31392 Issued in AZ
Practice address
6303 E Broadway Blvd
Tucson, AZ 85710-3546
Phone
(520) 325-4002
NPI assigned
Sep 1, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2023

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 31392 AZ Primary

Addresses

Primary practice location

6303 E Broadway Blvd
Tucson, AZ 85710-3546

Mailing address

3111 E 4TH St Apt 146
Tucson, AZ 85716-4524
Phone (401) 595-4156

Other practice location 1

1076 Ribaut Rd Ste 102
Beaufort, SC 29902-5490
Phone (843) 525-0045

Other names 1

  • Kelsey Spitalnic Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, MA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20231213000660 SC Practitioner - Physical Therapist in Private Practice 5597170159 Reassigns benefits to 1 organization
I20240529000062 MA Practitioner - Physical Therapist in Private Practice 5597170159 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1076 Ribaut Rd
Suite 101
Beaufort, SC 29902-5477
Phone (843) 525-0045

Merit-based Incentive Payment System (MIPS)

Final score
81.34 of 100Reported as group
Quality
57.41
Promoting interoperability
100
Improvement activities
40
Cost
80.4

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
31392AZMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Beaufort Orthopaedic Sports and Spine Center LLC CurrentSince Nov 13, 2023 Accepting new patients
Bay State Physical Therapy of Randolph Inc Physical Therapist CurrentSince May 17, 2024 Accepting new patients
Bay State Physical Therapy of Randolph Inc Physical Therapist CurrentSince May 17, 2024 Accepting new patients
Beaufort Orthopaedic Sports and Spine Center LLC CurrentSince Nov 13, 2023 Accepting new patients

Locations

703 Granite St
Ste 3
Braintree, MA 02184

1343 Providence Hwy
Norwood, MA 02062
Phone (781) 702-1339

173 Essex St
Fl 1
Swampscott, MA 01907
Phone (781) 586-0550

1076 Ribaut Rd
Ste 102
Beaufort, SC 29902
Phone (843) 521-1970

1076 Ribaut Rd
Ste 101
Beaufort, SC 29902
Phone (843) 525-0045

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, 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": "1598918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703116800000",
    "number": "1407460116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3111 E 4TH ST APT 146",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857164524",
            "telephone_number": "401-595-4156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6303 E BROADWAY BLVD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857103546",
            "telephone_number": "520-325-4002"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1076 Ribaut Rd Ste 102",
            "address_purpose": "LOCATION",
            "city": "Beaufort",
            "state": "SC",
            "postal_code": "299025490",
            "country_code": "US",
            "telephone_number": "843-525-0045",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GREGORY",
        "first_name": "KELSEY",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-01",
        "last_updated": "2023-12-21",
        "certification_date": "2023-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "31392",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELSEY",
            "last_name": "SPITALNIC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Tucson, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2023; 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.