Active NPI
Kelly Anna Christina Sheldon
- Physical Therapist
- Newnan, GA
National Provider Identifier
1902525215
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Practice address
- 1111 Lower Fayetteville Rd Ste 2000
Newnan, GA 30265-6506 - Phone
- (770) 251-7284
- NPI assigned
- Aug 22, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | OR | ||
| Physical Therapist | 225100000X | Primary |
Addresses
Primary practice location
1111 Lower Fayetteville Rd Ste 2000
Newnan, GA 30265-6506
Mailing address
1200 Corporate Dr Ste 400
Hoover, AL 35242-5424
Phone (866) 518-0283
Other practice location 1
3512 Excel Dr Ste 105
Medford, OR 97504-9850
Phone (541) 245-0419
Other practice location 2
112 Kia Dr Ste B
LaGrange, GA 30241-3731
Phone (706) 668-6336
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1661126400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1705276800000",
"number": "1902525215",
"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",
"telephone_number": "866-518-0283"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1111 LOWER FAYETTEVILLE RD STE 2000",
"city": "NEWNAN",
"state": "GA",
"postal_code": "302656506",
"telephone_number": "770-251-7284"
}
],
"practiceLocations": [
{
"address_1": "3512 Excel Dr Ste 105",
"address_purpose": "LOCATION",
"city": "Medford",
"state": "OR",
"postal_code": "975049850",
"country_code": "US",
"telephone_number": "541-245-0419",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "112 Kia Dr Ste B",
"address_purpose": "LOCATION",
"city": "LaGrange",
"state": "GA",
"postal_code": "302413731",
"country_code": "US",
"telephone_number": "706-668-6336",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SHELDON",
"first_name": "KELLY ANNA",
"middle_name": "CHRISTINA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-08-22",
"last_updated": "2024-01-15",
"certification_date": "2024-01-15",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OR",
"license": null,
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Newnan, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.