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

Mrs. Kelly R Bauer, PT

Individual provider Physical Therapist · NPI 1912107129

Mrs. Kelly R Bauer, PT is a Physical Therapist in Private Practice in Loudon, Tennessee. Graduated from University of Tennessee, Hsc, College of Medicine in 1999, 27 years ago. Practices with Healthpro Heritage Rehab and Fitness LLC, a 990-clinician group and accepts Medicare assignment. Licensed in Tennessee.

Years since qualifying
27
Trained at
University of Tennessee, Hsc, College of Medicine
Licensed in
TN
In the registry since
2007
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

1125 Grove St Ste 120
Loudon, TN 37774-3251
Phone: (865) 458-8080
Fax: (865) 458-4111
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT0000006280 (TN)

Record details

NPI number1912107129
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT
Sole proprietorNo
NPI enumeratedJuly 25, 2007
Last updated in NPPESJuly 25, 2007

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolUNIVERSITY OF TENNESSEE, HSC, COLLEGE OF MEDICINE
Graduated 1999 (27 years in practice)
Group practice Healthpro Heritage Rehab And Fitness Llc — 990 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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