Individual provider Active NPI

Kaitlyn Carney, PT, DPT

  • Physical Medicine & Rehabilitation Physician
  • Nashville, TN
National Provider Identifier
1811635345
Registry record updated May 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
14141 Issued in TN
Practice address
2004 Hayes St Ste 110
Nashville, TN 37203-2648
Phone
(615) 815-3777
NPI assigned
May 24, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 24, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 14141 TN Primary

Addresses

Primary practice location

2004 Hayes St Ste 110
Nashville, TN 37203-2648

Mailing address

2004 Hayes St Ste 110
Nashville, TN 37203-2648
Phone (615) 815-3777

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, FL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20220801001238 TN Practitioner - Physical Therapist in Private Practice 7810379344 Reassigns benefits to 1 organization
I20250220002721 FL Practitioner - Physical Therapist in Private Practice 7810379344 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Competitive Edge Performance IncGroup PAC ID 5395820229, 7 clinicians

Practice addresses (Care Compare)

3105 W Bay to Bay Blvd
Tampa, FL 33629-7211
Phone (813) 849-0150

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
14141TNMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Competitive Edge Performance Inc CurrentSince Jan 27, 2025 Accepting new patients
Elite Sports Medicine and Orthopaedic Center, PLC CurrentSince May 23, 2022 Accepting new patients
Elite Sports Medicine and Orthopaedic Center, PLC CurrentSince May 23, 2022 Accepting new patients

Locations

13046 Race Track Rd
Tampa, FL 33626
Phone (352) 256-1074

13817 W Hillsborough Ave
Tampa, FL 33635
Phone (813) 849-0150

13301 W Hillsborough Ave
Ste 202
Tampa, FL 33635
Phone (813) 849-0150

3105 W Bay To Bay Blvd
Tampa, FL 33629
Phone (813) 849-0150

2004 Hayes St
Ste 200
Nashville, TN 37203
Phone (615) 284-2000

2004 Hayes St
Ste 110
Nashville, TN 37203
Phone (615) 815-3777

Organizations & group practices 3

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": "1653350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653350400000",
    "number": "1811635345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2004 HAYES ST STE 110",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372032648",
            "telephone_number": "615-815-3777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2004 HAYES ST STE 110",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372032648",
            "telephone_number": "615-815-3777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARNEY",
        "first_name": "KAITLYN",
        "credential": "PT,  DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-24",
        "last_updated": "2022-05-24",
        "certification_date": "2022-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "TN",
            "license": "14141",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 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.