MISS KELLEY NICOLE TATE P.T.
NPI 1003811258
Physical Therapist in Boonville, MO

Active since June 15, 2005Accepts Medicare Assignment
1420 W ASHLEY RD, BOONVILLE, MO 65233(660) 882-6115(660) 882-6120 Get Directions Write a Review

NPPES record last updated: February 20, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Miss Kelley Nicole Tate P.t. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MISS KELLEY NICOLE TATE P.T. (NPI 1003811258) is an individual physical therapist in Boonville, Missouri, licensed in Missouri (2002025550) and active in the NPI registry since June 2005. She is a graduate of University Of Missouri, Columbia School Of Medicine (2002).

NPPES Registry Identity

NPI1003811258
Entity TypeIndividualFemale
Primary Taxonomy225100000X
Provider Legal NameMISS KELLEY NICOLE TATECredential: P.T.
Location Address1420 W ASHLEY RDBoonville, MO 65233-2112
Mailing Address4501 S Harvest RdColumbia, MO 65203-8764 · (573) 474-5098
Fax(660) 882-6120
Sole ProprietorNo
Medical School CMSUniversity Of Missouri, Columbia School Of MedicineGraduated 2002
Enumeration DateJune 15, 2005
Last NPPES UpdateFebruary 20, 2025
NPPES CertifiedFebruary 20, 2025
NPI 1003811258 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
License Licensed in MO · 2002025550
Definition

Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:<ul><li>Diagnose and manage movement dysfunction and enhance physical and functional abilities.</li><li>Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.</li><li>Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.</li><li>Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.</li><li>Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.</li></ul>PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.

1420 W ASHLEY RD, Boonville, MO 65233

Other Names 1

Former Name (1)Kelley Malaney

Other Identifiers 3

Medicaid484700802MO
Other650025700MO · Medicare Railroad
Other122566MO · Bcbs

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Miss Kelley Nicole Tate P.t. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID446424204
PECOS Enrollment IDI20111114000666

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 65233 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$81.64 typical visit price
range $52.28 – $161.24
Typical copayment $20.41 (range $13.07 – $40.31)
Most-billed visit code 99203
Established Patient
$65.71 typical visit price
range $16.30 – $131.05
Typical copayment $16.42 (range $4.07 – $32.76)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physical Therapist
1420 W ASHLEY RD
BOONVILLE, MO 65233
Occupational Therapist
1420 W ASHLEY RD
BOONVILLE, MO 65233
Physical Therapist
1420 W ASHLEY RD
BOONVILLE, MO 65233
Physical Therapy Assistant
1420 W ASHLEY RD
BOONVILLE, MO 65233
Occupational Therapist
1420 W ASHLEY RD
BOONVILLE, MO 65233
Specialist/Technologist (Athletic Trainer)
1420 W ASHLEY RD
BOONVILLE, MO 65233
Physical Therapist
1420 W ASHLEY RD
BOONVILLE, MO 65233
Specialist/Technologist (Athletic Trainer)
1420 W ASHLEY RD
BOONVILLE, MO 65233

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1003811258, enumerated as an "individual" on June 15, 2005.

The provider is located at 1420 W ASHLEY RD BOONVILLE, MO 65233 and the phone number is (660) 882-6115.

Physical Therapist with taxonomy code 225100000X.

The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield, Blue Cross and. Please consult your insurance carrier or call the provider to verify.