Active NPI
Kelly Lynn Driver, LPTA
- Physical Therapy Assistant
- McMinnville, TN
National Provider Identifier
1861578221
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 2719
- Practice address
- 1014 South Chancery St
NHC Rehabilitation
McMinnville, TN 37110 - Phone
- (931) 506-9234
- Fax
- (931) 506-9235
- NPI assigned
- Oct 28, 2006
- 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 Therapy Assistant | 225200000X | 2719 | TN | Primary |
Addresses
Primary practice location
1014 South Chancery St
NHC Rehabilitation
McMinnville, TN 37110
Mailing address
PO Box 89
8258 Nashville Hwy
Dowelltown, TN 37059
Phone (615) 536-5337
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
| License | State | Type | Specialty |
|---|---|---|---|
| 2719 | TN | MD | Medical Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161993600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1861578221",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 89",
"address_2": "8258 NASHVILLE HWY",
"city": "DOWELLTOWN",
"state": "TN",
"postal_code": "37059",
"telephone_number": "615-536-5337"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1014 SOUTH CHANCERY ST",
"address_2": "NHC REHABILITATION",
"city": "MCMINNVILLE",
"state": "TN",
"postal_code": "37110",
"telephone_number": "931-506-9234",
"fax_number": "931-506-9235"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DRIVER",
"first_name": "KELLY",
"middle_name": "LYNN",
"name_prefix": "Mrs.",
"credential": "LPTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-28",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "TN",
"license": "2719",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in McMinnville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.