Kelly Black, PT
NPI 1629527049 · Physical Therapist · Ozark, MO
Enrolled with Medicare as Practitioner - Physical Therapist in Private Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Kelly Black, PT is a Physical Therapist provider in Ozark, MO (NPI 1629527049).
Provider details
- NPI number
- 1629527049
- Entity type
- Individual
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- PT
- Sex
- Female
- Sole proprietor
- Yes
- License
- 2001031153 (MO)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2016-09-27
- Last updated
- 2016-09-27
Frequently asked questions
- What is Kelly Black's NPI number?
- Kelly Black's National Provider Identifier (NPI) is 1629527049, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kelly Black's specialty?
- Kelly Black is listed in the NPPES registry with a primary specialty of Physical Therapist (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Kelly Black located?
- Kelly Black's practice location on file with NPPES is 1114 W Jackson St, Ozark, MO 65721-9164.
- What is Kelly Black's phone number?
- The practice phone number listed in the NPPES registry for Kelly Black is (417) 581-1234.
- Does Kelly Black accept Medicare?
- Kelly Black is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Kelly Black's NPI active?
- Yes — Kelly Black's NPI (1629527049) is active in the NPPES registry as of the last update on 2016-09-27.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.