Kelsey Vickers, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

9853 Issued in TN

Practice address

1 Cameron Hill Cir
Building 1, First Floor
Chattanooga, TN 37402

Phone

(423) 535-4000

Fax

(423) 535-1506

NPI assigned

Nov 21, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Peak Fitness and Physical Therapy, PLLCGroup PAC ID 1355516311, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Peak Fitness and Physical Therapy, PLLC

  • Physical Therapist
  • Chattanooga, TN
  • NPI 1679858591
  Medicare reassignment Care Compare group NPD (past)

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

{
    "created_epoch": "1384992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1526860800000",
    "number": "1477983872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 CAMERON HILL CIR,",
            "address_2": "BLDG 1, FIRST FLOOR",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374020001",
            "telephone_number": "423-535-4000",
            "fax_number": "423-535-1506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 CAMERON HILL CIR",
            "address_2": "BUILDING 1, FIRST FLOOR",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "37402",
            "telephone_number": "423-535-4000",
            "fax_number": "423-535-1506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VICKERS",
        "first_name": "KELSEY",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-11-21",
        "last_updated": "2018-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": "9853",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vibrant Life Health & Wellness
• Vibrant Life Health & Wellness
• Vibrant Medical Tennessee
• Arabellah Harvest Vickers
• Candis Vickers, RN
• Davelyn V. Vidrine, PH.D.
• Olivia Paige Vieregge
• Christine Cooley Vieth, CCC-SLP
• Raul Javier Vila, MD
• Victoria Villasenor

• Physical Therapist in Chattanooga, TN
• Providers in Chattanooga, TN by specialty
• Physical Therapist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2018; 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.