Individual provider Active NPI

Kelly Key, PT

  • Physical Therapist
  • West Memphis, AR
National Provider Identifier
1750500336
Registry record updated Aug 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT2548 Issued in AR
Practice address
310 Mid-Continent Plaza
Suite 185
West Memphis, AR 72301-1700
Phone
(870) 732-2828
Fax
(870) 732-1727
NPI assigned
Apr 24, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2022

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 1151110 TX
Physical Therapist 225100000X PT2548 AR Primary

Addresses

Primary practice location

310 Mid-Continent Plaza
Suite 185
West Memphis, AR 72301-1700

Mailing address

310 Mid-Continent Plaza
Suite 185
West Memphis, AR 72301-1700
Phone (870) 732-2828

Other identifiers 1

IdentifierTypeStateIssuer
1151110OtherTXPT

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181003001348 AR Practitioner - Physical Therapist in Private Practice 0345592325 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Holt Therapy and Wellness, PLLCGroup PAC ID 3375868862, 5 clinicians

Practice addresses (Care Compare)

310 Mid Continent PLZ
Suite 185
West Memphis, AR 72301-1700
Phone (870) 732-2828

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT2548ARMDPhysical Therapist
1151110TXMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Holt Therapy and Wellness, PLLC Physical Therapist CurrentSince Mar 1, 2018 Accepting new patients
Haynes Sports Therapy and Rehab, Inc. Physical Therapist Past Accepting new patients

Locations

310 Mid Continent Plz
Ste 185
West Memphis, AR 72301
Phone (870) 732-2828

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": "1177372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661212800000",
    "number": "1750500336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 MID-CONTINENT PLAZA",
            "address_2": "SUITE 185",
            "city": "WEST MEMPHIS",
            "state": "AR",
            "postal_code": "723011700",
            "telephone_number": "870-732-2828",
            "fax_number": "870-732-1727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 MID-CONTINENT PLAZA",
            "address_2": "SUITE 185",
            "city": "WEST MEMPHIS",
            "state": "AR",
            "postal_code": "723011700",
            "telephone_number": "870-732-2828",
            "fax_number": "870-732-1727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEY",
        "first_name": "KELLY",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-24",
        "last_updated": "2022-08-23",
        "certification_date": "2022-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1151110",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AR",
            "license": "PT2548",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PT",
            "identifier": "1151110",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Memphis, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2022; 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.