Individual provider Active NPI

Kailee Mackenzie Perry

  • Physical Therapist
  • Lewis Center, OH
National Provider Identifier
1437026267
Registry record updated Oct 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
CP049947T Issued in OH
Practice address
1270 E Powell Rd
Lewis Center, OH 43035-8619
Phone
(614) 981-2065
NPI assigned
Oct 17, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 009391 KY
Physical Therapist 225100000X CP049947T OH Primary

Addresses

Primary practice location

1270 E Powell Rd
Lewis Center, OH 43035-8619

Mailing address

118 Ike Ferguson Rd
West Liberty, KY 41472-7455
Phone (614) 981-2065

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251212000331 OH Practitioner - Physical Therapist in Private Practice 2062906415 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sports Medicine SpecialistsGroup PAC ID 2769792001, 6 clinicians

Practice addresses (Care Compare)

1270 E Powell Rd
Lewis Center, OH 43035-8619
Phone (614) 981-2065

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
009391KYMDPhysical Therapist
CP049947TOHMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Sports Medicine Specialists CurrentSince Oct 31, 2025 Accepting new patients

Locations

1344 W Lane Ave
Columbus, OH 43221
Phone (614) 981-1979

1270 E Powell Rd
Lewis Center, OH 43035
Phone (614) 432-6401

Organizations & group practices 1

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": "1760659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760659200000",
    "number": "1437026267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 IKE FERGUSON RD",
            "city": "WEST LIBERTY",
            "state": "KY",
            "postal_code": "414727455",
            "telephone_number": "614-981-2065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1270 E POWELL RD",
            "city": "LEWIS CENTER",
            "state": "OH",
            "postal_code": "430358619",
            "telephone_number": "614-981-2065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERRY",
        "first_name": "KAILEE",
        "middle_name": "MACKENZIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-10-17",
        "last_updated": "2025-10-17",
        "certification_date": "2025-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KY",
            "license": "009391",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "CP049947T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lewis Center, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 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.