Kelly Reid Orman, PT,MTC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT1287 Issued in MS

Practice address

1074 Highway 13 N Ste 210
Brandon, MS 39042-8568

Phone

(601) 722-2222

Fax

(601) 822-0150

NPI assigned

Mar 8, 2007

Sex

Male

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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 and National Provider Directory roles.

• Tri Therapy PLLC

  • Physical Therapy Assistant
  • Brookhaven, MS
  • NPI 1164109633
  NPD
• Physiotherapy Associates Inc

  dba Select Physical Therapy

  • Physical Therapy Clinic/Center
  • Estero, FL
  • NPI 1720039902
  NPD (past)

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

{
    "created_epoch": "1173312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593993600000",
    "number": "1699806273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 W MAIN ST STE 10",
            "city": "SEMINARY",
            "state": "MS",
            "postal_code": "394799027",
            "telephone_number": "601-722-2222",
            "fax_number": "601-822-0150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1074 HIGHWAY 13 N STE 210",
            "city": "BRANDON",
            "state": "MS",
            "postal_code": "390428568",
            "telephone_number": "601-722-2222",
            "fax_number": "601-822-0150"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "312 Kendall Ave",
            "address_purpose": "LOCATION",
            "city": "McComb",
            "state": "MS",
            "postal_code": "396482806",
            "country_code": "US",
            "telephone_number": "601-250-5517",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "335 E Bay St",
            "address_purpose": "LOCATION",
            "city": "Magnolia",
            "state": "MS",
            "postal_code": "396522815",
            "country_code": "US",
            "telephone_number": "601-783-0220",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "314 Main St Ste C",
            "address_purpose": "LOCATION",
            "city": "Monticello",
            "state": "MS",
            "postal_code": "396543702",
            "country_code": "US",
            "telephone_number": "601-587-2563",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "104 W Main St Ste 10",
            "address_purpose": "LOCATION",
            "city": "Seminary",
            "state": "MS",
            "postal_code": "394799027",
            "country_code": "US",
            "telephone_number": "601-722-2222",
            "fax_number": "601-822-0150",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ORMAN",
        "first_name": "KELLY",
        "middle_name": "REID",
        "credential": "PT,MTC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-08",
        "last_updated": "2020-07-06",
        "certification_date": "2020-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MS",
            "license": "PT1287",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physical Therapist in Brandon, MS
• Providers in Brandon, MS by specialty
• Physical Therapist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.