Kelly Davis Ivey, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

P14707 Issued in NC

Practice address

290 N Highway 16
Denver, NC 28037-8011

Phone

(704) 483-0777

Fax

(704) 483-1883

NPI assigned

Feb 11, 2014

Last updated

Jul 21, 2022By the provider in NPPES

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

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Phoenix Physical Therapy and Sports PerformanceGroup PAC ID 0749209245, 8 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Phoenix Physical Therapy & Sports Performance

  • Physical Therapist
  • Denver, NC
  • NPI 1861555278
  Medicare reassignment Care Compare group NPD
• Phoenix Physical Therapy and Sports Performance -Lake Norman

  • Orthopedic Physical Therapist
  • Terrell, NC
  • NPI 1013451301
  NPD (past)

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

{
    "created_epoch": "1392076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1922422914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "290 N HIGHWAY 16",
            "city": "DENVER",
            "state": "NC",
            "postal_code": "280378011",
            "telephone_number": "704-483-0777",
            "fax_number": "704-483-1883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "290 N HIGHWAY 16",
            "city": "DENVER",
            "state": "NC",
            "postal_code": "280378011",
            "telephone_number": "704-483-0777",
            "fax_number": "704-483-1883"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7825 Nc Highway 150 E",
            "address_purpose": "LOCATION",
            "city": "Terrell",
            "state": "NC",
            "postal_code": "286828703",
            "country_code": "US",
            "telephone_number": "704-483-0777",
            "fax_number": "704-483-1883",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "IVEY",
        "first_name": "KELLY",
        "middle_name": "DAVIS",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-02-11",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "P14707",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leslie Gilmore Hyatt, NP
• Inquire Ni (Inquire Nursing Innovation and Outreach)
• Integrated Dermatology of Denver, PLLC
• International Foundation Friends Ethnicities (Iffe)
• Invictus of NC, Inc.
• Jackson Family Medicine and Wellness Center Inc.
• Kendra Jackson, NP
• Kimberly Jackson, DNP, FNP-BC
• Wyllis Eugene James Jr., DDS
• Kathryn Jansen, NP

• Physical Therapist in Denver, NC
• Providers in Denver, NC by specialty
• Physical Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.