Kelly Diane Lundy, PT, DPT
Physical Therapist in Knoxville, TN. Individual provider (NPI-1).
NPI number1649075482
StatusActive
Last updated in NPPESFeb 17, 2025
Details
- NPI
- 1649075482
- Entity type
- Individual (NPI-1)
- Name
- Kelly Diane Lundy
- Credential
- PT, DPT
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Feb 17, 2025
- Certification date
- Feb 16, 2025
- Last updated
- Feb 17, 2025
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | 15494 | TN | Yes |
Practice location
801 E Inskip DrKnoxville, TN 37912-3734
Phone 865-357-1660
Mailing address
1185 W Mountain View Rd Apt 1118Johnson City, TN 37604-2527
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 522 Physical Therapist providers in Knoxville · All 17,212 providers in Knoxville
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