Individual provider Active NPI

Kelsey Smith

  • Physical Therapist
  • Andalusia, AL
National Provider Identifier
1508522947
Registry record updated Jan 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PTH10612 Issued in AL
Practice address
811 W Bypass Ste B
Andalusia, AL 36420-4736
Phone
(334) 222-2620
NPI assigned
Nov 10, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2025

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 PTH10612 AL Primary

Addresses

Primary practice location

811 W Bypass Ste B
Andalusia, AL 36420-4736

Mailing address

2823 Greystone Commercial Blvd
Hoover, AL 35242-2660

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211207000146 AL Practitioner - Physical Therapist in Private Practice 1951791946 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Therapy South Andalusia LLCGroup PAC ID 0345511903, 3 clinicians

Practice addresses (Care Compare)

811 W Bypass
Suite B
Andalusia, AL 36420-4736
Phone (334) 222-2620

Merit-based Incentive Payment System (MIPS)

Final score
95 of 100Reported as individual
Quality
90
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PTH10612ALMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Therapy South Andalusia LLC Physical Therapist CurrentSince Jan 1, 2025 Accepting new patients
Therapy South - Montgomery LLC Physical Therapist CurrentSince Nov 8, 2021 Accepting new patients
Body Logic Physical Therapy LLC Physical Therapist PastSince Nov 1, 2021 Accepting new patients

Locations

811 W Bypass
#B
Andalusia, AL 36420
Phone (334) 222-2620

2823 Greystone Commercial Blvd
Hoover, AL 35242
Phone (205) 408-1713

8117 Old Federal Rd
Montgomery, AL 36117
Phone (334) 380-5920

Organizations & group practices 3

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": "1636502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736121600000",
    "number": "1508522947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2823 GREYSTONE COMMERCIAL BLVD",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352422660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "811 W BYPASS STE B",
            "city": "ANDALUSIA",
            "state": "AL",
            "postal_code": "364204736",
            "telephone_number": "334-222-2620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "KELSEY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-10",
        "last_updated": "2025-01-06",
        "certification_date": "2025-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AL",
            "license": "PTH10612",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Andalusia, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 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.