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

Kelly Nicole Patterson

Individual provider Physical Therapist · NPI 1770397515

Kelly Nicole Patterson is a Physical Therapist in Private Practice in Tucson, Arizona. Qualified in 2024, 2 years ago. Practices with Physio Shop Tucson LLC, a 12-clinician group and accepts Medicare assignment.

Years since qualifying
2
In the registry since
2025
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Practice location Address checks out

6011 N Oracle Rd Ste 151
Tucson, AZ 85704-5309
Phone: (520) 561-0101
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X

Record details

NPI number1770397515
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedFebruary 3, 2025
Last updated in NPPESFebruary 3, 2025
Certification dateFebruary 3, 2025

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Physio Shop Tucson Llc — 12 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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