KELLI JO BRUMMER (MPT) – Physical Therapist, NPI 1609838671

KELLI JO BRUMMER (MPT) is a healthcare provider. based in Ooltewah, Tennessee. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials MPT. They hold a License No. 7158 (TN). The NPI Number for KELLI JO BRUMMER (MPT) is 1609838671

Main info

Female
22 Years Of Experience
Accepts Medicare Assignment
Name
KELLI JO BRUMMER (MPT)
NPI
1609838671
Phone
(423) 238-7217
Address
8823 PRODUCTION LN
Enumeration Date
5 April 2006
Last Update Date
13 August 2012

Doctor Profile

Medical School Name
UNIVERSITY OF NORTH CAROLINA AT CHAPEL HILL SCHOOL OF MEDICINE
Secondary Phone
9016839630
Graduation Year
2004 (22 years ago)
PAC ID
4688827967
Group Practice PAC ID
3375454648
Professional Enrollment ID
I20130117000289
Address ID
TN381193549ME5220XAVEX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

2,335 PHYSICAL THERAPIST IN PRIVATE PRACTICE in TN

Provider Addresses for KELLI JO BRUMMER (MPT)

  • 8823 PRODUCTION LN

    OOLTEWAH, TN 373636511

    Phone: (423) 238-7217

    Fax: (423) 238-3473

    Type: Mailing

  • 501 ADESSA PKWY STE A140

    LENOIR CITY, TN 377716720

    Phone: (865) 988-7610

    Fax: (865) 988-6636

    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: 2013-01-17

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
I20130117000289IPhysical Therapist In Private PracticeTNTBD

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
97140Therapy procedure using manual technique, each 15 minutes85362$0
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes76957$0
97530Therapy procedure using functional activities66565$0
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes56858$0
97150Therapy procedure in a group setting45253$0
View full utilization report →

Insurance plans in this area (ZIP 37363)

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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: 3375454648View full group profile
NameSpecialtyState
-TN
-TN
Physical Therapist In Private PracticeLA
Physical Therapist In Private PracticePA
-TN
Physical Therapist In Private PracticeAL
Physical Therapist In Private PracticeMN
-TN
-TN
-TX

Reviews

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Frequently asked questions

How do I look up KELLI JO BRUMMER (MPT) by NPI?
Use NPI 1609838671 when you need to reference KELLI JO BRUMMER (MPT) in forms, claims, or directories.
Is KELLI JO BRUMMER (MPT)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What kind of provider is KELLI JO BRUMMER (MPT)?
The page reflects Physical Therapist for KELLI JO BRUMMER (MPT). Clinical services aligned with this taxonomy classification.
What location shows for KELLI JO BRUMMER (MPT)?
We surface Ooltewah, Tennessee for KELLI JO BRUMMER (MPT) based on available NPPES addresses.
Is KELLI JO BRUMMER (MPT) a real provider?
This page reflects official NPPES data for NPI 1609838671. Always confirm identity and privileges with the practice and licensing boards.

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