Kelley Lynn Gentry, P.T.A.

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

225200000X Issued in SC

Practice address

1305 Boiling Springs Rd
Greer, SC 29650-4139

Phone

(864) 458-7566

NPI assigned

Oct 10, 2006

Last updated

Oct 12, 2016By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476230400000",
    "number": "1912095894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 SUMMER DR",
            "city": "EASLEY",
            "state": "SC",
            "postal_code": "296428255",
            "telephone_number": "864-517-7733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1305 BOILING SPRINGS RD",
            "city": "GREER",
            "state": "SC",
            "postal_code": "296504139",
            "telephone_number": "864-458-7566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GENTRY",
        "first_name": "KELLEY",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "P.T.A.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-10",
        "last_updated": "2016-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "SC",
            "license": "225200000X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Georgea B Thekkethottiyil LLC (Greer Dental Studio)
• Irene Julie Georgopoulos, D.C.
• Jennifer Gerard, APRN, FNP, IBCLC
• Sheelah Gervacio, MD
• Richard Henry Gettys Jr., M.D.

• Physical Therapy Assistant in Greer, SC
• Providers in Greer, SC by specialty
• Physical Therapy Assistant in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2016; 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.