Individual provider Active NPI

Kelsey Bahr, DPT

  • Physical Therapist
  • Tampa, FL
National Provider Identifier
1700660909
Registry record updated Aug 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT40670 Issued in FL
Practice address
13817 W Hillsborough Ave
Tampa, FL 33635-9655
Phone
(813) 849-0150
NPI assigned
Aug 21, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2023

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 PT40670 FL Primary

Addresses

Primary practice location

13817 W Hillsborough Ave
Tampa, FL 33635-9655

Mailing address

13817 W Hillsborough Ave
Tampa, FL 33635-9655

Other practice location 1

3105 W Bay To Bay Blvd
Tampa, FL 33629-7211
Phone (813) 849-0150

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230913001551 FL Practitioner - Physical Therapist in Private Practice 7719341551 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT40670FLMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Competitive Edge Performance Inc CurrentSince Aug 30, 2023 Accepting new patients

Locations

13817 W Hillsborough Ave
Tampa, FL 33635
Phone (813) 849-0150

13046 Race Track Rd
Tampa, FL 33626
Phone (352) 256-1074

3105 W Bay To Bay Blvd
Tampa, FL 33629
Phone (813) 849-0150

13301 W Hillsborough Ave
Ste 202
Tampa, FL 33635
Phone (813) 849-0150

Organizations & group practices 1

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": "1692576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692576000000",
    "number": "1700660909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13817 W HILLSBOROUGH AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336359655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13817 W HILLSBOROUGH AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336359655",
            "telephone_number": "813-849-0150"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3105 W Bay To Bay Blvd",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336297211",
            "country_code": "US",
            "telephone_number": "813-849-0150",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAHR",
        "first_name": "KELSEY",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-21",
        "last_updated": "2023-08-21",
        "certification_date": "2023-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT40670",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2023; 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.