Individual provider Active NPI

Jennings Kelsey Moody, PT, DPT

  • Physical Therapist
  • Centre, AL
National Provider Identifier
1801484746
Registry record updated Jan 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PTH8587 Issued in AL
Practice address
1215 Chesnut Byp Ste B
Centre, AL 35960-2830
Phone
(256) 266-1001
Fax
(256) 266-1071
NPI assigned
Jan 6, 2021
Last updated
Jan 6, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2021

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 PTH8587 AL Primary

Addresses

Primary practice location

1215 Chesnut Byp Ste B
Centre, AL 35960-2830

Mailing address

1200 Corporate Dr Ste 400
Hoover, AL 35242-5424
Phone (423) 238-7217

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL, SC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20210121002393 AL Practitioner - Physical Therapist in Private Practice 1557775145 Reassigns benefits to 1 organization
I20240730001740 SC Practitioner - Physical Therapist in Private Practice 1557775145 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2017
Medicare assignment
May accept Medicare assignment
Group practices
Benchmark Healthcare Services LLCGroup PAC ID 3779726468, 136 clinicians

Practice addresses (Care Compare)

2603 N Pleasantburg Dr
Suite D
Greenville, SC 29609-2734
Phone (864) 298-0333

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12277SCMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Drayer Physical Therapy-Alabama, LLC Physical Therapist CurrentSince Jan 18, 2021 Accepting new patients
Drayer Physical Therapy - South Carolina, LLC Physical Therapist CurrentSince Mar 12, 2024 Accepting new patients
Drayer Physical Therapy Alabama LLC CurrentSince Jan 18, 2021 Accepting new patients
Benchmark Health Services Physical Therapist CurrentSince Mar 12, 2024 Accepting new patients
Benchmark Healthcare Services, LLC Physical Therapist CurrentSince Mar 12, 2024 Accepting new patients
Drayer Physical Therapy-South Carolina, LLC Physical Therapist CurrentSince Mar 12, 2024 Accepting new patients

Locations

1215 Chesnut Byp
#B
Centre, AL 35960
Phone (256) 266-1001

2215 Decatur Hwy
Ste 125
Gardendale, AL 35071
Phone (205) 285-8790

1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568

130 Amicks Ferry Rd
#G
Chapin, SC 29036
Phone (803) 932-2176

2603 N Pleasantburg Dr
Ste D
Greenville, SC 29609
Phone (864) 298-0333

1000 Tanner Ford Blvd
Ste 370
Hanahan, SC 29410
Phone (843) 718-1058

7585 Saint Andrews Rd
Irmo, SC 29063
Phone (803) 749-5031

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1609891200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609891200000",
    "number": "1801484746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 CORPORATE DR STE 400",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352425424",
            "telephone_number": "423-238-7217",
            "fax_number": "423-933-1996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1215 CHESNUT BYP STE B",
            "city": "CENTRE",
            "state": "AL",
            "postal_code": "359602830",
            "telephone_number": "256-266-1001",
            "fax_number": "256-266-1071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOODY",
        "first_name": "JENNINGS",
        "middle_name": "KELSEY",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-06",
        "last_updated": "2021-01-06",
        "certification_date": "2021-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AL",
            "license": "PTH8587",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Centre, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2021; 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.