Kelsey Lynn Sivley, PT, DPT
NPI 1417506254ActiveIndividual· Physical Therapist, Orthopedic· Ooltewah, TN
Physical Therapist, Orthopedic (PT, DPT) with Summit Physical Therapy, LLC, practicing in Ooltewah, Tennessee. Medicare paid $51,302 for services to 90 patients in 2024.
Overview
| NPI | 1417506254 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PT, DPT |
| Sole proprietor | No |
| NPI issued | Sep 4, 2019 |
| Last updated in NPPES | Nov 2, 2024 |
| Certified by provider | Nov 2, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist, Orthopedic Primary | 2251X0800X | 0000012265 | TN |
| Physical Therapist, Orthopedic | 2251X0800X | PT014009 | GA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physical Therapist in Private Practice (TN) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 90 |
|---|---|
| Services billed | 2,698 across 11 procedure codes |
| Paid by Medicare | $51,302 |
Education and affiliations
| Graduation year | 2019 |
|---|---|
| Medicare specialty | Physical Therapist In Private Practice |
Medical group
- Summit Physical Therapy, LLCOoltewah, TN · 24 clinicians