Individual provider Active NPI

Erin Kelm, DPT

  • Physical Therapist
  • Tucson, AZ
National Provider Identifier
1649955493
Registry record updated Feb 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
11873 Issued in SC
Practice address
5977 E Grant Rd Ste 101
Tucson, AZ 85712-2369
Phone
(520) 822-8640
Fax
(520) 822-8641
NPI assigned
Jun 20, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 12, 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 11873 SC Primary
Physical Therapist 225100000X

Addresses

Primary practice location

5977 E Grant Rd Ste 101
Tucson, AZ 85712-2369

Mailing address

790 Remington Blvd
Bolingbrook, IL 60440-4909
Phone (866) 370-8206

Other practice location 1

1636 Oakhurst Dr
MT Pleasant, SC 29466-8785
Phone (843) 729-7643

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, WA, GA, SC4 enrollments

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20230707001527 AZ Practitioner - Physical Therapist in Private Practice 9638538721 Reassigns benefits to 1 organization
I20240506001824 WA Practitioner - Physical Therapist in Private Practice 9638538721 Reassigns benefits to 1 organization
I20240911002392 GA Practitioner - Physical Therapist in Private Practice 9638538721 Reassigns benefits to 1 organization
I20250218001182 SC Practitioner - Physical Therapist in Private Practice 9638538721 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
South Carolina Sports Medicine and Orthopaedic CenterGroup PAC ID 8527972637, 43 clinicians

Practice addresses (Care Compare)

2760 Tricom St
North Charleston, SC 29406-9169
Phone (843) 300-8585

Merit-based Incentive Payment System (MIPS)

Final score
86.09 of 100Reported as group
Quality
89.13
Improvement activities
40
Cost
73.57

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
South Carolina Sports Medicine & Orthopaedic Center CurrentSince Dec 30, 2024 Accepting new patients
Northwest Center for Sports Medicine & Physical Therapy, Inc. Physical Therapist CurrentSince Apr 15, 2024 Accepting new patients
Human Performance and Rehabilitation Centers, LLC Physical Therapist CurrentSince Jul 3, 2024 Accepting new patients
Ati Holdings of Arizona, LLC Physical Therapist CurrentSince Jun 19, 2023 Accepting new patients
Human Performance and Rehabilitation Centers LLC CurrentSince Jul 3, 2024 Accepting new patients
Ideal Rehabilitation LLC PastSince Jun 19, 2023 Accepting new patients
Northwest Center for Sports Medicine & Physical Therapy, Inc. Physical Therapist Past Accepting new patients

Locations

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

1485 E Florence Blvd
Ste 105
Casa Grande, AZ 85122
Phone (520) 494-3058

11209 N Tatum Blvd
Ste B120
Phoenix, AZ 85028
Phone (602) 595-0204

5660 W Cortaro Farms Rd
Ste 108
Tucson, AZ 85742
Phone (520) 462-6167

5977 E Grant Rd
Ste 101
Tucson, AZ 85712
Phone (520) 448-5700

1020 S Harrison Rd
Unit 120
Tucson, AZ 85748
Phone (520) 207-6288

788 Prince Ave
Ste C
Athens, GA 30606
Phone (706) 453-2111

6298 Veterans Pkwy
Ste 5A
Columbus, GA 31909
Phone (706) 320-0927

1157 West Ave SW
#B
Conyers, GA 30012
Phone (770) 922-2120

1883 McDonough Rd
Ste C
Lovejoy, GA 30228
Phone (760) 219-4631

909 Eagles Landing Pkwy
Ste 430
Stockbridge, GA 30281
Phone (770) 506-6993

790 Remington Blvd
Bolingbrook, IL 60440

1650 Lyndon Farm Ct
Ste 300
Louisville, KY 40223
Phone (726) 202-3039

2760 Tricom St
North Charleston, SC 29406
Phone (843) 300-8585

9100 Medcom St
North Charleston, SC 29406
Phone (843) 569-3367

4411 Point Fosdick Dr
Ste 101
Gig Harbor, WA 98335
Phone (253) 851-7472

5765 Littlerock Rd SW
Ste 107
Tumwater, WA 98512
Phone (546) 999-4146

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/1516/brand/1/csg/1/fhir/r4
  • Direct secure messaging: erin.kelm.1@1516.direct.athenahealth.com

Organizations & group practices 7

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": "1687219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739318400000",
    "number": "1649955493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "790 REMINGTON BLVD",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604404909",
            "telephone_number": "866-370-8206",
            "fax_number": "517-435-3670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5977 E GRANT RD STE 101",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857122369",
            "telephone_number": "520-822-8640",
            "fax_number": "520-822-8641"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1636 Oakhurst Dr",
            "address_purpose": "LOCATION",
            "city": "MT Pleasant",
            "state": "SC",
            "postal_code": "294668785",
            "country_code": "US",
            "telephone_number": "843-729-7643",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KELM",
        "first_name": "ERIN",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-20",
        "last_updated": "2025-02-12",
        "certification_date": "2025-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": "11873",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 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.