Individual provider Active NPI

Kaylie Marie Sutt

  • Physical Therapist
  • Greenwood, IN
National Provider Identifier
1427600519
Registry record updated Nov 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
05015385A Issued in IN
Practice address
455 Greenwood Park South Dr Ste E
Greenwood, IN 46142-4570
Phone
(317) 909-1570
NPI assigned
Jul 10, 2019
Last updated
Nov 19, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2024

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 05015385A IN Primary

Addresses

Primary practice location

455 Greenwood Park South Dr Ste E
Greenwood, IN 46142-4570

Mailing address

PO Box 306393
Nashville, TN 37230-6393
Phone (615) 373-1350

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, IN2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20191022003057 TN Practitioner - Physical Therapist in Private Practice 3577895671 Reassigns benefits to 1 organization
I20240305002127 IN Practitioner - Physical Therapist in Private Practice 3577895671 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vices Vision Rehab and Wellness LLCGroup PAC ID 8224413794, 2 clinicians

Practice addresses (Care Compare)

455 Greenwood Park S Dr E
Jandj Integrated Physical Therapy
Greenwood, IN 46142-4570
Phone (317) 440-8962

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Vices Vision Rehab and Wellness LLC Physical Therapist CurrentSince Feb 28, 2024 Accepting new patients
Results-Ast JV, LLC Physical Therapist CurrentSince Jan 1, 2021 Accepting new patients

Locations

1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568

455 Greenwood Park South Dr
Ste D
Greenwood, IN 46142
Phone (317) 440-8962

455 Greenwood Park South Dr
Ste E
Greenwood, IN 46142
Phone (317) 440-8962

1195 Old Hickory Blvd
Ste 100
Brentwood, TN 37027
Phone (615) 377-8773

1120 Sams St
Cookeville, TN 38506
Phone (931) 528-7312

2001 Mallory Ln
Ste 201
Franklin, TN 37067
Phone (615) 771-0134

2001 Mallory Ln
Ste 204
Franklin, TN 37067
Phone (615) 550-0005

3046 Columbia Ave
Ste 108
Franklin, TN 37064
Phone (615) 550-0000

3810 Central Pike
Ste 102
Hermitage, TN 37076
Phone (615) 915-5000

1420 W Baddour Pkwy
Ste 120
Lebanon, TN 37087
Phone (615) 443-9036

5002 Crossings Cir
Ste 320
Mt Juliet, TN 37122
Phone (615) 758-9129

1272 Garrison Dr
Ste 303
Murfreesboro, TN 37129
Phone (615) 849-9358

2910 S Church St
Ste G
Murfreesboro, TN 37127
Phone (615) 656-0610

520 Highland Ter
Ste A
Murfreesboro, TN 37130
Phone (615) 896-6866

5073 Main St
Ste 120
Spring Hill, TN 37174
Phone (615) 302-3564

100 Hunters Ln
Ste 200
Tullahoma, TN 37388
Phone (931) 455-1980

2030 Cowan Hwy
Ste 1
Winchester, TN 37398
Phone (931) 968-1080

Organizations & group practices 2

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": "1562716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731974400000",
    "number": "1427600519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 306393",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372306393",
            "telephone_number": "615-373-1350",
            "fax_number": "615-221-9054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "455 GREENWOOD PARK SOUTH DR STE E",
            "city": "GREENWOOD",
            "state": "IN",
            "postal_code": "461424570",
            "telephone_number": "317-909-1570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUTT",
        "first_name": "KAYLIE",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-10",
        "last_updated": "2024-11-19",
        "certification_date": "2024-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IN",
            "license": "05015385A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenwood, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 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.