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

Kelly Black, PT

Individual provider Physical Therapist · NPI 1629527049

Kelly Black, PT is a Physical Therapist in Private Practice in Ozark, Missouri. Qualified in 2001, 25 years ago. Practices with Legacy Healthcare Services Inc, a 3,624-clinician group and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
25
Licensed in
MO
In the registry since
2016
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

1114 W Jackson St
Ozark, MO 65721-9164
Phone: (417) 581-1234
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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 2001031153 (MO)

Record details

NPI number1629527049
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT
Sole proprietorYes
NPI enumeratedSeptember 27, 2016
Last updated in NPPESSeptember 27, 2016
Mailing address1114 W Jackson St, Ozark, MO 65721-9164

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2001 (25 years in practice)
Group practice Legacy Healthcare Services Inc — 3624 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Ozark