Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kelli Jo Brummer, MPT

Individual provider Physical Therapist · NPI 1609838671

Kelli Jo Brummer, MPT is a Physical Therapist in Private Practice in Lenoir City, Tennessee. Graduated from University of North Carolina at Chapel Hill School of Medicine in 2004, 22 years ago. Practices with Agilitas USA, Inc, a 810-clinician group and accepts Medicare assignment. Licensed in Tennessee.

Years since qualifying
22
Trained at
University of North Carolina at Chapel Hill School of Medicine
Licensed in
TN
In the registry since
2006
What do these letters mean?
MPT — Master of Physical Therapy
The master's-level physical therapy degree awarded before the DPT became standard.

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Practice location Address checks out

501 Adessa Pkwy Ste A140
Lenoir City, TN 37771-6720
Phone: (865) 988-7610
Fax: (865) 988-6636
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 7158 (TN)

Record details

NPI number1609838671
Entity typeIndividual (Type 1)
GenderFemale
Credentials MPT
Sole proprietorNo
NPI enumeratedApril 5, 2006
Last updated in NPPESAugust 13, 2012
Mailing address8823 Production Ln, Ooltewah, TN 37363-6511

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolUNIVERSITY OF NORTH CAROLINA AT CHAPEL HILL SCHOOL OF MEDICINE
Graduated 2004 (22 years in practice)
Group practice Agilitas Usa, Inc — 810 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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