MISS QUINCIE KELLY (DPT) – Physical Therapist, NPI 1417338567

MISS QUINCIE KELLY (DPT) is a healthcare provider. based in Mountain home, Arkansas. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials DPT. They hold a License No. PT 3997 (AR). The NPI Number for MISS QUINCIE KELLY (DPT) is 1417338567

Main info

Female
Sole Proprietor
11 Years Of Experience
Accepts Medicare Assignment
Name
MISS QUINCIE KELLY (DPT)
NPI
1417338567
Phone
(870) 424-4550
Address
PO BOX 587
Enumeration Date
15 June 2015
Last Update Date
15 June 2015

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8704244550
Graduation Year
2015 (11 years ago)
PAC ID
5597078469
Group Practice PAC ID
5991741035
Professional Enrollment ID
I20150721002181
Address ID
AR726533215MO1027XEXXX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience39
Completeness75
Years active:10State licenses:1Digital endpointsOther names

835 PHYSICAL THERAPIST IN PRIVATE PRACTICE in AR

Provider Addresses for MISS QUINCIE KELLY (DPT)

  • PO BOX 587

    MOUNTAIN HOME, AR 726540587

    Phone: (870) 424-4550

    Fax: (870) 424-4558

    Type: Mailing

  • 1027 HIGHWAY 62 E

    MOUNTAIN HOME, AR 726533215

    Phone: (870) 424-4550

    Fax: (870) 424-4558

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2015-07-21

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20150721002181IPhysical Therapist In Private PracticeARTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes1,36051$0
97140Therapy procedure using manual technique, each 15 minutes5714$0
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes5211$0
97162Evaluation for physical therapy, typically 30 minutes3431$0
View full utilization report →

Insurance plans in this area (ZIP 72654)

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Provider's Procedures

MISS QUINCIE KELLY (DPT) performs procedures in PHYSICAL THERAPIST IN PRIVATE PRACTICE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PHYSICAL THERAPYAR97140Manual (physical) therapy techniques to 1 or more regions, each 15 minutes11120

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5991741035View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeAR

Reviews

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Frequently asked questions

What federal number belongs to MISS QUINCIE KELLY (DPT)?
The federal identifier for MISS QUINCIE KELLY (DPT) is NPI 1417338567.
Is MISS QUINCIE KELLY (DPT) currently active in the NPI registry?
CMS-published data lists MISS QUINCIE KELLY (DPT) as an active registrant.
What does MISS QUINCIE KELLY (DPT) treat or focus on?
Patients typically see MISS QUINCIE KELLY (DPT) under the specialty Physical Therapist. Clinical services aligned with this taxonomy classification.
Does MISS QUINCIE KELLY (DPT) practice in Arkansas?
You will see Mountain Home, Arkansas on file for MISS QUINCIE KELLY (DPT) alongside any extra practice locations.
What if Mountain Home, Arkansas seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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