Kelsey Lynn Sivley, PT, DPT

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

0000012265 Issued in TN

Practice address

9380 Bradmore LN Ste 100
Ooltewah, TN 37363-4435

Phone

(423) 661-3246

NPI assigned

Sep 4, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Summit Physical Therapy, LLCGroup PAC ID 5799840211, 24 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Summit Physical Therapy, LLC

  • Physical Therapy Clinic/Center
  • Hixson, TN
  • NPI 1376796342

  Orthopedic

  Medicare reassignment Care Compare group NPD
• Summit Physical Therapy

  • Physical Therapist
  • Hixson, TN
  • NPI 1225514110
  NPD (past)

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

{
    "created_epoch": "1567555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730505600000",
    "number": "1417506254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1805 VERNON RD STE A",
            "city": "LAGRANGE",
            "state": "GA",
            "postal_code": "302403871",
            "telephone_number": "706-845-9383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9380 BRADMORE LN STE 100",
            "city": "OOLTEWAH",
            "state": "TN",
            "postal_code": "373634435",
            "telephone_number": "423-661-3246"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1805 Vernon Rd Ste A",
            "address_purpose": "LOCATION",
            "city": "LaGrange",
            "state": "GA",
            "postal_code": "302403871",
            "country_code": "US",
            "telephone_number": "706-845-9383",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIVLEY",
        "first_name": "KELSEY",
        "middle_name": "LYNN",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-04",
        "last_updated": "2024-11-02",
        "certification_date": "2024-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "GA",
            "license": "PT014009",
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "TN",
            "license": "0000012265",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Diane Allen Shuck
• Silversage Physician Services of Tennessee, PLLC
• Logan Sims, DPT
• John Clinton Sinclair, LMT
• John A. Sines Jr., D.D.S.
• Bernadette Slater, OTR/L, CLT
• Allison Smith, PHARMD
• Andrea Nicole Smith, PHARM.D,
• James Smith
• Joel S Smith, NP

• Orthopedic Physical Therapist in Ooltewah, TN
• Providers in Ooltewah, TN by specialty
• Orthopedic Physical Therapist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2024; 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.