Active NPI
Kelli Rose Palmer, PT
- Physical Therapist
- Matthews, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 10170
- Practice address
- 710 Park Center Dr Ste 200
Matthews, NC 28105-5082 - Phone
- (704) 774-0751
- NPI assigned
- Aug 11, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 10170 | NC | Primary |
Addresses
Primary practice location
710 Park Center Dr Ste 200
Matthews, NC 28105-5082
Mailing address
710 Park Center Dr Ste 200
Matthews, NC 28105-5082
Phone (704) 774-0751
Other names 1
- Kelli Jantzi Tryon
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 94 of 100
- Quality
- 81.63
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10170 | NC | MD | Music Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orthocarolina | Physical Therapist | Current | Accepting new patients |
| Orthocarolina | Physical Therapist | Current | Accepting new patients |
Locations
3541 Randolph Rd
Ste 100W
Charlotte, NC 28211
Phone (704) 323-2500
5935 Carnegie Blvd
Ste 104
Charlotte, NC 28209
Phone (704) 323-2500
1915 Randolph Rd
Charlotte, NC 28207
Phone (704) 339-1000
4601 Park Rd
Ste 300
Charlotte, NC 28209
Phone (704) 323-2090
710 Park Center Dr
Ste 200
Matthews, NC 28105
Phone (704) 323-2500
Organizations & group practices 2
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": "1155254400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1784419200000",
"number": "1730190083",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "710 PARK CENTER DR STE 200",
"city": "MATTHEWS",
"state": "NC",
"postal_code": "281055082",
"telephone_number": "704-774-0751"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "710 PARK CENTER DR STE 200",
"city": "MATTHEWS",
"state": "NC",
"postal_code": "281055082",
"telephone_number": "704-774-0751"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PALMER",
"first_name": "KELLI",
"middle_name": "ROSE",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-11",
"last_updated": "2026-07-19",
"certification_date": "2026-07-19",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NC",
"license": "10170",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KELLI",
"last_name": "TRYON",
"middle_name": "JANTZI",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Matthews, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2026; 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.