Kaitlyn Elizabeth Englehart, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

12609 Issued in TN

Practice address

8040 Wolf River Blvd Ste 102
Germantown, TN 38138-1773

Phone

(901) 522-6440

Fax

(901) 757-2507

NPI assigned

Sep 12, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Kaitlyn Longley Former name

Medicare fee-for-service enrollment

Enrolled in HI

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Hana Pono Wellness Center LLCGroup PAC ID 2365864337, 11 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Hana Pono Wellness Center LLC

  • Physical Therapy Clinic/Center
  • Kailua, HI
  • NPI 1225659857

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• Leader Physical Therapy Limited Partnership

  dba Memphis Physical Therapy

  • Physical Therapy Clinic/Center
  • Millington, TN
  • NPI 1952419186
  NPD (past)
• MSK Group PC

  dba OrthoSouth

  • Orthopaedic Surgery Physician
  • Southaven, MS
  • NPI 1912303447

  Physical Therapist

  NPD (past)

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

{
    "created_epoch": "1536710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611792000000",
    "number": "1831672146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8040 WOLF RIVER BLVD STE 102",
            "city": "GERMANTOWN",
            "state": "TN",
            "postal_code": "381381773",
            "telephone_number": "901-522-6440",
            "fax_number": "901-757-2507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8040 WOLF RIVER BLVD STE 102",
            "city": "GERMANTOWN",
            "state": "TN",
            "postal_code": "381381773",
            "telephone_number": "901-522-6440",
            "fax_number": "901-757-2507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENGLEHART",
        "first_name": "KAITLYN",
        "middle_name": "ELIZABETH",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-12",
        "last_updated": "2021-01-28",
        "certification_date": "2021-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": "12609",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAITLYN",
            "last_name": "LONGLEY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Adam Christopher Elnaggar, MD
• Julianna Michelle Elsea, PA-C
• Amanda Michele Embry, LPC-MHSP
• Donald S Emerson, MD
• Endocrinology and Diabetes Specialists, LLC
• James K Ensor, MD
• Melissa Esparza-Spottswood, OT
• Cathy Essary Lane, SPE, HSP
• Leigh Ann Etheridge
• Evercare Solutions LLC

• Physical Therapist in Germantown, TN
• Providers in Germantown, TN by specialty
• Physical Therapist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 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.