Kelly Duncan, L.P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT22179 Issued in FL

Practice address

577 Brookmeade Dr
Crestview, FL 32539-6029

Phone

(850) 682-7466

NPI assigned

May 12, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

University of Texas Southwestern Medical School at Dallas, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Crestview Physical Therapy IncGroup PAC ID 1759541675, 2 clinicians

Crestview Physical and Aquatic Therapy LLCGroup PAC ID 6709309750, 2 clinicians

Practice addresses (Care Compare)

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.

• Crestview Physical and Aquatic Therapy LLC

  • Physical Therapist
  • Crestview, FL
  • NPI 1093517716
  Medicare reassignment Care Compare group NPD
• Crestview Physical Therapy Inc

  • Physical Therapist
  • Crestview, FL
  • NPI 1295784668
  Medicare reassignment Care Compare group NPD
• Womens Manual Physical Therapy LLC

  • Physical Therapist
  • Crestview, FL
  • NPI 1013221894
  NPD (past)

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

{
    "created_epoch": "1336780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752969600000",
    "number": "1740549674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "577 BROOKMEADE DR",
            "city": "CRESTVIEW",
            "state": "FL",
            "postal_code": "325396029",
            "telephone_number": "850-682-7466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "577 BROOKMEADE DR",
            "city": "CRESTVIEW",
            "state": "FL",
            "postal_code": "325396029",
            "telephone_number": "850-682-7466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUNCAN",
        "first_name": "KELLY",
        "credential": "L.P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-05-12",
        "last_updated": "2025-07-20",
        "certification_date": "2025-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT22179",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PT LICENSE",
            "identifier": "PT22179",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alison Drummer
• DSW Behaviorial Health Center
• Merry Dubose, LPTA
• Rachel Duckworth, DMD
• Melissa Marie Dugan, PA
• Amanda Carolyn Dunehew
• Caitline Michele Dunlap, RBT
• Dynamic Pain & Wellness LLC
• Dynamic Pain & Wellness LLC
• E a Tillman & Associates Inc

• Physical Therapist in Crestview, FL
• Providers in Crestview, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 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.