Kelly Thornton, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2023036863 Issued in MO

Practice address

5200 Executive Centre Pkwy Ste 200
Saint Peters, MO 63376-3394

Phone

(636) 255-8750

NPI assigned

Jan 31, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Miss Kelly Patton Former name

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Axes Physical Therapy LLCGroup PAC ID 3375840028, 112 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.

• Axes Physical Therapy, LLC

  dba Axes Physical Therapy

  • Physical Therapy Clinic/Center
  • O'Fallon, MO
  • NPI 1003280421

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• Axes Physical Therapy I, LLC

  dba Axes Physical Therapy

  • Physical Therapy Clinic/Center
  • Washington, MO
  • NPI 1679032700
  Medicare reassignment
• Jump Start Physical Therapy

  • Pediatric Physical Therapist
  • Denver, CO
  • NPI 1225498009
  NPD (past) Authorized official
• Axes Physical Therapy, LLC

  dba Axes Physical Therapy

  • Durable Medical Equipment & Medical Supplies
  • Creve Coeur, MO
  • NPI 1699530931

  Physical Therapist

  NPD

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

{
    "created_epoch": "1296432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694476800000",
    "number": "1932405446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "647 SPIRIT AIRPARK WEST DR STE 101",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630051032",
            "telephone_number": "636-206-4225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5200 EXECUTIVE CENTRE PKWY STE 200",
            "city": "SAINT PETERS",
            "state": "MO",
            "postal_code": "633763394",
            "telephone_number": "636-255-8750"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "555 E 10th Ave Apt 502",
            "address_purpose": "LOCATION",
            "city": "Denver",
            "state": "CO",
            "postal_code": "802033244",
            "country_code": "US",
            "telephone_number": "303-909-5743",
            "fax_number": "303-909-5743",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THORNTON",
        "first_name": "KELLY",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-01-31",
        "last_updated": "2023-09-12",
        "certification_date": "2023-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "CO",
            "license": "11022",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MO",
            "license": "2023036863",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELLY",
            "last_name": "PATTON",
            "prefix": "MISS",
            "credential": "PT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Linda Thomas
• Kara D Thompson, OTR
• Keith David Thompson, PHARMD
• Robert Weldon Thompson II, DDS
• Shane Thoreson, MPT
• Rashonda Thornton, LPC
• Thrive Enrich Empower LLC
• Kayla Arnee Tiller, FNP-C
• Timothy a. Schaible D.M.D and Associates LLC
• Rachel Nicole Tinker, AGACNP-BC

• Physical Therapist in Saint Peters, MO
• Providers in Saint Peters, MO by specialty
• Physical Therapist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2023; 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.