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

Kelly Ann Payne, PT

Individual provider Physical Therapist · NPI 1184888943

Kelly Ann Payne, PT is a Physical Therapist in Private Practice in Southern Pines, North Carolina. Qualified in 2007, 19 years ago. Practices with Peak Performance Sports and Physical Therapy LLC, a 61-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
19
Licensed in
NC
In the registry since
2008
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

292 Commerce Ave
Southern Pines, NC 28387-7059
Phone: (910) 477-6236
Fax: (910) 477-6357
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 4002 Executive Park Blvd Ste 800, Southport, NC 28461-9069 — (910) 477-6236

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 11317 (NC)

Record details

NPI number1184888943
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT
Sole proprietorNo
NPI enumeratedJuly 10, 2008
Last updated in NPPESMay 12, 2021
Certification dateApril 17, 2021

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Group practice Peak Performance Sports And Physical Therapy Llc — 61 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Southern Pines