Active NPI
Kelsey Gregory, PT, DPT
- Physical Therapist
- Tucson, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 31392
- 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
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 | 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC, MA
Enrollment records 2
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 100
- Quality
- 57.41
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 80.4
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 31392 | AZ | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Beaufort Orthopaedic Sports and Spine Center LLC | Current | Accepting new patients | |
| Bay State Physical Therapy of Randolph Inc | Physical Therapist | Current | Accepting new patients |
| Bay State Physical Therapy of Randolph Inc | Physical Therapist | Current | Accepting new patients |
| Beaufort Orthopaedic Sports and Spine Center LLC | Current | 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.
-
- Orthopaedic Surgery Physician
- Beaufort, SC
- NPI 1982765160
-
dba Bay State Physical Therapy
- Physical Therapist
- Fall River, MA
- NPI 1164474334
-
dba Bay State Physical Therapy
- Physical Therapist
- Franklin, MA
- NPI 1821108549
-
- Orthopaedic Surgery Physician
- Bluffton, SC
- NPI 1497412019
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.