Active NPI
Kelsey Smith
- Physical Therapist
- Andalusia, AL
National Provider Identifier
1508522947
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PTH10612
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
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 100
- Quality
- 90
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PTH10612 | AL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Therapy South Andalusia LLC | Physical Therapist | Current | Accepting new patients |
| Therapy South - Montgomery LLC | Physical Therapist | Current | Accepting new patients |
| Body Logic Physical Therapy LLC | Physical Therapist | Past | 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.
-
- Physical Therapist
- Andalusia, AL
- NPI 1306379797
-
- Physical Therapist
- Montgomery, AL
- NPI 1154933091
-
- Physical Therapist
- Montgomery, AL
- NPI 1366851966
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.