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NPI Code Detail

MEDICARE: KELLY GERRITY STEUSSY PT, DPT

MEDICARE: KELLY GERRITY STEUSSY PT, DPT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical TherapistPT011095GA
2225100000XPhysical TherapistCP051162TSC
3225100000XPhysical TherapistP17266NC

General Provider Information

NPI Number : 1942632930
Entity Type Code : Individual
Provider Name (Legal Business Name) : KELLY GERRITY STEUSSY PT, DPT
Provider Business Mailing Address
First Line : 1200 CORPORATE DR STE 400
Second Line :
City : HOOVER
State : AL
Zip : 35242-5424
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 16139 LANCASTER HWY STE 140
Second Line :
City : CHARLOTTE
State : NC
Zip : 28277-2976
Country : US
Telephone Number : 704-542-2492
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/01/2013
Last Update Date : 12/23/2025

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