Individual provider Active NPI

Kimberly R Yancey, DPT

  • Physical Therapist
  • Clarksville, TN
National Provider Identifier
1619239746
Registry record updated Apr 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
15935 Issued in TN
Practice address
2197 Madison St Ste 106
Clarksville, TN 37043-5253
Phone
(931) 503-1700
NPI assigned
Jun 14, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT27387 FL
Physical Therapist 225100000X 15935 TN Primary

Addresses

Primary practice location

2197 Madison St Ste 106
Clarksville, TN 37043-5253

Mailing address

1200 Corporate Dr Ste 400
Hoover, AL 35242-5424
Phone (232) 387-2174

Other practice location 1

1252 S Nellis Blvd
Las Vegas, NV 89104-5782
Phone (702) 459-4900

Other practice location 2

405 Racetrack Rd NE
Suite 101
Fort Walton Beach, FL 32547-2561
Phone (850) 863-4747

Other practice location 3

1011 Winn Way Ste 110
Clarksville, TN 37043-0614
Phone (931) 368-9082

Other names 1

  • Kimberly R Duquay Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, NV, TN3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20191114001203 FL Practitioner - Physical Therapist in Private Practice 9234561119 Reassigns benefits to 2 organizations
I20240311003733 NV Practitioner - Physical Therapist in Private Practice 9234561119 Reassigns benefits to 1 organization
I20240911002235 TN Practitioner - Physical Therapist in Private Practice 9234561119 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
88.07 of 100Reported as group
Quality
85
Improvement activities
40
Cost
85.47

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT27387FLMDPhysical Therapist
15935TNMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
New Century Rehabilitation LLC Physical Therapist CurrentSince Feb 15, 2024 Accepting new patients
New Century Rehabilitation, LLC CurrentSince Feb 15, 2024 Accepting new patients
Healthpro Heritage Rehab & Fitness, LLC Physical Therapist CurrentSince Feb 11, 2022 Accepting new patients
Harbor City Physical Therapy, PA Physical Therapist CurrentSince Aug 15, 2022 Accepting new patients
Independent Physical Therapy, LLC Physical Therapist CurrentSince Dec 29, 2024 Accepting new patients
Agilitas USA Inc Physical Therapist CurrentSince Jul 8, 2024 Accepting new patients
Healthpro Heritage Rehab & Fitness, LLC Physical Therapist CurrentSince Feb 11, 2022 Accepting new patients
Results-Ast JV, LLC Physical Therapist CurrentSince Jul 8, 2024 Accepting new patients
Agilitas USA, Inc Physical Therapist CurrentSince Jul 8, 2024 Accepting new patients

Locations

1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568

5000 N Wickham Rd
Ste 107
Melbourne, FL 32940
Phone (321) 701-4020

790 Remington Blvd
Bolingbrook, IL 60440

790 Remington Blvd
Ste 101
Bolingbrook, IL 60440

4947 Paysphere Cir
Chicago, IL 60674
Phone (630) 783-2001

4000 S Eastern Ave
Ste 300
Las Vegas, NV 89119
Phone (702) 734-2732

1252 S Nellis Blvd
Las Vegas, NV 89104
Phone (702) 459-4900

6397 Lee Hwy
Ste 300
Chattanooga, TN 37421
Phone (423) 238-8923

2197 Madison St
Ste 106
Clarksville, TN 37043
Phone (931) 503-1700

1011 Winn Way
Ste 110
Clarksville, TN 37043
Phone (931) 368-9082

1202 N Charles G Seivers Blvd
Ste A
Clinton, TN 37716
Phone (865) 457-0192

5220 Park Ave
Ste 201
Memphis, TN 38119
Phone (901) 683-9630

2030 Cowan Hwy
Ste 1
Winchester, TN 37398
Phone (931) 968-1080

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Organizations & group practices 9

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": "1339632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745280000000",
    "number": "1619239746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 CORPORATE DR STE 400",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352425424",
            "telephone_number": "232-387-2174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2197 MADISON ST STE 106",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370435253",
            "telephone_number": "931-503-1700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1252 S Nellis Blvd",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891045782",
            "country_code": "US",
            "telephone_number": "702-459-4900",
            "fax_number": "702-459-8686",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "405 Racetrack Rd NE",
            "address_2": "Suite 101",
            "address_purpose": "LOCATION",
            "city": "Fort Walton Beach",
            "state": "FL",
            "postal_code": "325472561",
            "country_code": "US",
            "telephone_number": "850-863-4747",
            "fax_number": "850-863-4658",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1011 Winn Way Ste 110",
            "address_purpose": "LOCATION",
            "city": "Clarksville",
            "state": "TN",
            "postal_code": "370430614",
            "country_code": "US",
            "telephone_number": "931-368-9082",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YANCEY",
        "first_name": "KIMBERLY",
        "middle_name": "R",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-14",
        "last_updated": "2025-04-22",
        "certification_date": "2025-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT27387",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": "15935",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIMBERLY",
            "last_name": "DUQUAY",
            "middle_name": "R",
            "credential": "DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Clarksville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 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.