Individual provider Active NPI

Kelly Elizabeth Sivley, PT, DPT

  • Physical Therapist
  • Nashville, TN
National Provider Identifier
1538893706
Registry record updated Jul 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
14438 Issued in TN
Practice address
7135 Charlotte Pike Ste 102
Nashville, TN 37209-5017
Phone
(615) 540-8334
Fax
(615) 469-4321
NPI assigned
Jul 13, 2022
Last updated
Jul 9, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2024

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 14438 TN Primary

Addresses

Primary practice location

7135 Charlotte Pike Ste 102
Nashville, TN 37209-5017

Mailing address

1129 Sunnymeade Dr Unit a
Nashville, TN 37216-2527
Phone (602) 370-7092

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220915003693 TN Practitioner - Physical Therapist in Private Practice 7012392707

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
14438TNMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Well Baby PT CurrentSince Apr 6, 2025 Accepting new patients
Peak Pediatric Therapy, LLC PastSince Jul 21, 2024 Accepting new patients

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": "1657670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720483200000",
    "number": "1538893706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1129 SUNNYMEADE DR UNIT A",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372162527",
            "telephone_number": "602-370-7092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7135 CHARLOTTE PIKE STE 102",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372095017",
            "telephone_number": "615-540-8334",
            "fax_number": "615-469-4321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIVLEY",
        "first_name": "KELLY",
        "middle_name": "ELIZABETH",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-07-13",
        "last_updated": "2024-07-09",
        "certification_date": "2024-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": "14438",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2024; 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.