Kelly Lynn Munson

Primary specialty

Spinal Cord Injury Medicine PhysicianTaxonomy code 2081P0004X

License

2010023603 Issued in MO

Practice address

1 Jefferson Barracks Dr
Lemay, MO 63125-4181

Phone

(314) 210-1909

NPI assigned

Sep 25, 2019

Last updated

May 25, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Occupational Therapist in Private Practice

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

RWW Outpatient Rehab Services, LLCGroup PAC ID 8729333521, 108 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• RWW Outpatient Rehab Services, LLC

  • Physical Therapist
  • Hendersonville, TN
  • NPI 1770148793
  Medicare reassignment Care Compare group NPD
• RWW Outpatient Rehab Services, LLC

  • Multi-Specialty Clinic/Center
  • Phoenix, AZ
  • NPI 1447744461
  NPD
• RWW Outpatient Rehab Services, LLC

  • Clinic/Center
  • Murfreesboro, TN
  • NPI 1528670775
  NPD

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

{
    "created_epoch": "1569369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684972800000",
    "number": "1609427178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1750 TUSCANY WAY",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370270501",
            "telephone_number": "314-304-0379",
            "fax_number": "000-000-0000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 JEFFERSON BARRACKS DR",
            "city": "LEMAY",
            "state": "MO",
            "postal_code": "631254181",
            "telephone_number": "314-210-1909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUNSON",
        "first_name": "KELLY",
        "middle_name": "LYNN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-09-25",
        "last_updated": "2023-05-25",
        "certification_date": "2023-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2081P0004X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Spinal Cord Injury Medicine",
            "state": "MO",
            "license": "2010023603",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erin Paige Mannion
• Mercy Pharmacy Services LLC (Mercy Pharmacy Lemay)
• Motivate Healthcare in Home LLC
• Motivate Healthcare in-Home LLC
• Motivate Healthcare LLC

• Spinal Cord Injury Medicine Physician in Lemay, MO
• Providers in Lemay, MO by specialty
• Spinal Cord Injury Medicine Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2023; 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.