Individual provider Active NPI

Kelsey Kennedy Smith, PT

  • Orthopedic Physical Therapist
  • Pittsburgh, PA
National Provider Identifier
1508414962
Registry record updated Sep 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
PT032673 Issued in PA
Practice address
7060 Highland Dr
Pittsburgh, PA 15206-1259
Phone
(818) 506-8212
NPI assigned
Aug 29, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 26, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X 05011488A IN
Orthopedic Physical Therapist 2251X0800X PT032673 PA Primary

Addresses

Primary practice location

7060 Highland Dr
Pittsburgh, PA 15206-1259

Mailing address

421 Beech Dr
MC Kees Rocks, PA 15136-1430
Phone (317) 966-3372

Other practice location 1

1481 W 10th St
Indianapolis, IN 46202-2803
Phone (317) 966-3372

Other names 1

  • Kelsey Elizabeth Kennedy Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250124001513 PA Practitioner - Physical Therapist in Private Practice 1557890233 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Burgettstown Physical Therapy LLCGroup PAC ID 5294623153, 14 clinicians

Practice addresses (Care Compare)

3627 Brodhead Rd
Suite 2
Monaca, PA 15061-2881
Phone (724) 775-6012

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
05011488AINMDOrthopedic Physical Therapist
PT032673PAMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Burgettstown Physical Therapy, LLC Orthopedic CurrentSince Jan 6, 2025 Accepting new patients
Benchmark Therapy, Inc Past Accepting new patients
Benchmark Therapy, Inc Past Accepting new patients
Benchmark Therapy, Inc. Past Accepting new patients
The Physical Therapy Institute Past Accepting new patients
The Physical Therapy Institute Past Accepting new patients

Locations

2038 Smith Township State Rd
Ste 4
Burgettstown, PA 15021
Phone (724) 825-5480

3627 Brodhead Rd
Ste 2
Monaca, PA 15061
Phone (724) 775-6012

470 Johnson Rd
Ste 200
Washington, PA 15301
Phone (724) 223-2061

470 Johnson Rd
Ste 140
Washington, PA 15301
Phone (412) 670-2845

Organizations & group practices 6

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": "1567036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727308800000",
    "number": "1508414962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "421 BEECH DR",
            "city": "MC KEES ROCKS",
            "state": "PA",
            "postal_code": "151361430",
            "telephone_number": "317-966-3372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7060 HIGHLAND DR",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152061259",
            "telephone_number": "818-506-8212"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1481 W 10th St",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "462022803",
            "country_code": "US",
            "telephone_number": "317-966-3372",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "KELSEY",
        "middle_name": "KENNEDY",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-08-29",
        "last_updated": "2024-09-26",
        "certification_date": "2024-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "IN",
            "license": "05011488A",
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "PA",
            "license": "PT032673",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELSEY",
            "last_name": "KENNEDY",
            "middle_name": "ELIZABETH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Pittsburgh, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 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.