Active NPI
Kelly John
- Physical Therapist
- Brevard, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- P20951
- Practice address
- 102 College Station Dr Ste 7
Brevard, NC 28712-3195 - Phone
- (828) 966-3129
- NPI assigned
- Feb 4, 2022
- 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 | P20951 | NC | Primary |
Addresses
Primary practice location
102 College Station Dr Ste 7
Brevard, NC 28712-3195
Mailing address
1200 Corporate Dr Ste 400
Hoover, AL 35242-5424
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC, SC
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
61 Weaver Blvd
Suite 118
Weaverville, NC 28787-9804
Phone (828) 519-9070
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P20951 | NC | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Benchmark Physical Therapy of NC, LLC | Physical Therapist | Current | Accepting new patients |
| Agilitas USA, Inc | Physical Therapist | Current | Accepting new patients |
| Drayer Physical Therapy-South Carolina, LLC | Physical Therapist | Current | Accepting new patients |
| Agilitas USA Inc | Physical Therapist | Current | Accepting new patients |
| Drayer Physical Therapy - South Carolina, LLC | Physical Therapist | Current | Accepting new patients |
| Benchmark Healthcare Services, LLC | Physical Therapist | Current | Accepting new patients |
| Benchmark Physical Therapy of North Carolina LLC | Physical Therapist | Current | Accepting new patients |
| Benchmark Health Services | Physical Therapist | Current | Accepting new patients |
Locations
1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568
102 College Station Dr
Ste 7
Brevard, NC 28712
Phone (828) 966-3129
10020 Monroe Rd
Ste 160
Matthews, NC 28105
Phone (704) 841-0894
61 Weaver Blvd
Ste 118
Weaverville, NC 28787
Phone (828) 519-9070
908 Smithfield Way
Ste 104
Fort Mill, SC 29715
Phone (803) 470-4933
1000 Tanner Ford Blvd
Ste 370
Hanahan, SC 29410
Phone (843) 718-1058
7585 Saint Andrews Rd
Irmo, SC 29063
Phone (803) 749-5031
3032 W Montague Ave
Ste 101
North Charleston, SC 29418
Phone (843) 885-8772
Organizations & group practices 8
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.
-
- Physical Therapist
- Columbia, SC
- NPI 1841622354
-
- Physical Therapist
- Leland, NC
- NPI 1588189112
-
- Physical Therapist
- Easley, SC
- NPI 1457842643
-
- Physical Therapist
- Camden, SC
- NPI 1154816833
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1643932800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1740096000000",
"number": "1801540240",
"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"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "102 COLLEGE STATION DR STE 7",
"city": "BREVARD",
"state": "NC",
"postal_code": "287123195",
"telephone_number": "828-966-3129"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHN",
"first_name": "KELLY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-02-04",
"last_updated": "2025-02-21",
"certification_date": "2025-02-21",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NC",
"license": "P20951",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brevard, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 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.