Mrs Kelly L King, PT - Medicare Physical Therapist in Camden, TN

Mrs Kelly L King, PT is a medicare enrolled "Physical Therapist" provider in Camden, Tennessee. Her current practice location is 309 Highway 641 N, Camden, Tennessee. You can reach out to her office (for appointments etc.) via phone at (731) 584-1722.

Mrs Kelly L King is licensed to practice in Tennessee (license number PT0000007078) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1699709204.

Contact Information

Mrs Kelly L King, PT
309 Highway 641 N,
Camden, TN 38320-3011
(731) 584-1722
(731) 584-1733

Map and Direction




Healthcare Provider's Profile

Full NameMrs Kelly L King
GenderFemale
SpecialityPhysical Therapist
Location309 Highway 641 N, Camden, Tennessee
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1699709204
  • Provider Enumeration Date: 07/10/2006
  • Last Update Date: 08/12/2014
  Medicare PECOS Information:
  • PECOS PAC ID: 5991719684
  • Enrollment ID: I20240326000481

Medical Identifiers

Medical identifiers for Mrs Kelly L King such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1699709204NPI-NPPES
0446685MedicaidTN
4117317OtherTNBCBS PROVIDER NUMBER

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225100000XPhysical Therapist PT0000007078 (Tennessee)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mrs Kelly L King allows following entities to bill medicare on her behalf.
Provider NameDynamix Physical Therapy Llc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1669619268
PECOS PAC ID: 5193873933
Enrollment ID: O20090504000677

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Kelly L King is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mrs Kelly L King, PT
309 Highway 641 N,
Camden, TN 38320-3011

Ph: (731) 584-1722
Mrs Kelly L King, PT
309 Highway 641 N,
Camden, TN 38320-3011

Ph: (731) 584-1722

Reviews and Comments


Physical Therapist in Camden, TN

King Physical Therapy
Physical Therapist
Medicare: Medicare Enrolled
Practice Location: 309 Highway 641 N, Camden, TN 38320
Phone: 731-584-1722    Fax: 731-584-1733
Mr. Michael Eugene Bogard, PT
Physical Therapist
Medicare: Medicare Enrolled
Practice Location: 77 East Lake St, Camden, TN 38320
Phone: 731-584-0942    Fax: 731-584-0942

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.