Individual provider Active NPI

Kelli Ranson Lloyd, DPT

  • Physical Therapist
  • Roswell, GA
National Provider Identifier
1831645845
Registry record updated Jun 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
012602 Issued in GA
Practice address
1000 Holcomb Woods Pkwy Ste 422
Roswell, GA 30076-4718
Phone
(770) 641-8070
Fax
(770) 641-8078
NPI assigned
Aug 30, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 19, 2023

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 012602 GA Primary

Addresses

Primary practice location

1000 Holcomb Woods Pkwy Ste 422
Roswell, GA 30076-4718

Mailing address

4765 Fourth Rail LN
Cumming, GA 30040-9335

Other practice location 1

11785 Northfall Ln Ste 501
Alpharetta, GA 30009-7961
Phone (770) 569-2274

Other identifiers 1

IdentifierTypeStateIssuer
003180476BMedicaidGA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
012602GAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Childrens Therapy Center Physical Therapist CurrentSince Jun 25, 2023 Accepting new patients
Chatterbox Inc PastSince Nov 10, 2019 Accepting new patients
Van Varick Pediatric Physical Therapy Physical Therapist PastSince Jun 25, 2023 Accepting new patients

Locations

1000 Holcomb Woods Pkwy
Ste 422
Roswell, GA 30076
Phone (770) 641-8070

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": "1472515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687132800000",
    "number": "1831645845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4765 FOURTH RAIL LN",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300409335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 HOLCOMB WOODS PKWY STE 422",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300764718",
            "telephone_number": "770-641-8070",
            "fax_number": "770-641-8078"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11785 Northfall Ln Ste 501",
            "address_purpose": "LOCATION",
            "city": "Alpharetta",
            "state": "GA",
            "postal_code": "300097961",
            "country_code": "US",
            "telephone_number": "770-569-2274",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LLOYD",
        "first_name": "KELLI",
        "middle_name": "RANSON",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-08-30",
        "last_updated": "2023-06-19",
        "certification_date": "2023-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "012602",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003180476B",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Roswell, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.