Individual provider Active NPI

Kaitlin Anne Ball, DPT

  • Physical Therapist
  • Cleveland, TN
National Provider Identifier
1467864710
Registry record updated Nov 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT0000009856 Issued in TN
Practice address
4472 Ellis Cir NW
Cleveland, TN 37312-3326
Phone
(423) 380-6263
Fax
(423) 380-6264
NPI assigned
May 21, 2014
Last updated
Nov 17, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 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 PT0000009856 TN Primary
Orthopedic Physical Therapist 2251X0800X 9856 TN

Addresses

Primary practice location

4472 Ellis Cir NW
Cleveland, TN 37312-3326

Mailing address

4472 Ellis Cir NW
Cleveland, TN 37312-3326
Phone (423) 380-6263

Other names 1

  • Kaitlin Vanraden Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151026000108 TN Practitioner - Physical Therapist in Private Practice 2466761887 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9856TNMDPediatric Dentist
PT0000009856TNMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Bradley Physician Services, LLC CurrentSince Feb 1, 2026 Accepting new patients
Can DO Kids Pediatric Therapy Services, LLC Physical Therapist Past Accepting new patients

Locations

2305 Chambliss Ave NW
Cleveland, TN 37311
Phone (423) 559-6000

2700 Westside Dr NW
Ste 204
Cleveland, TN 37312
Phone (423) 476-3711

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": "1400630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763337600000",
    "number": "1467864710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4472 ELLIS CIR NW",
            "city": "CLEVELAND",
            "state": "TN",
            "postal_code": "373123326",
            "telephone_number": "423-380-6263",
            "fax_number": "423-380-6264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4472 ELLIS CIR NW",
            "city": "CLEVELAND",
            "state": "TN",
            "postal_code": "373123326",
            "telephone_number": "423-380-6263",
            "fax_number": "423-380-6264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALL",
        "first_name": "KAITLIN",
        "middle_name": "ANNE",
        "name_prefix": "Mrs.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-05-21",
        "last_updated": "2025-11-17",
        "certification_date": "2025-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": "PT0000009856",
            "primary": true
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "TN",
            "license": "9856",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAITLIN",
            "last_name": "VANRADEN",
            "credential": "DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Cleveland, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.