Kelly Black, PT
Physical Therapist · Ozark, MO
Kelly Black, PT is a physical therapist with a practice address in Ozark, Missouri, and NPI 1629527049, issued on Sep 27, 2016. Check the license (Missouri 2001031153, as entered in NPPES) with the Missouri board that licenses this profession; the Medicare figures below come from public CMS files.
- Name
- Kelly Black
- Credential
- PT
- Primary taxonomy
- Physical Therapist 225100000X
- License number
- 2001031153 MO
Self-reported in NPPES; status is on the state search - Practice location
- 1114 W Jackson St, Ozark, MO 65721
- Phone
- (417) 581-1234
- Enumerated
- Sep 27, 2016
- Record last updated
- Sep 27, 2016 (not updated in 10 years: call before relying on the address or phone)
- Medicare enrollment
- Enrolled (PECOS I20180213000233); accepts Medicare assignment
- Entity
- Type 1 · individual
Also registered at 1114 W Jackson St
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Allison AdlerPhysical Therapist1720469661
- Laura FehrenbachSpeech-Language Pathologist1528415692
- Lydia Holland, DPTPhysical Therapist1841726510
- Cody Hooten, DPTPhysical Therapist1730547092
- Teal MathieSpeech-Language Pathologist1376078824
- Mark McDonald, DPTPhysical Therapist1750632048
Verify Kelly Black in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich Missouri board licenses this profession
Search for license 2001031153Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Bills Medicare through one group practice
- Legacy Healthcare Services IncKansas City, MO
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
24 physical therapist records list a practice address in Ozark
They are 24 of the 328 NPPES records with a practice address in Ozark, and 4,540 physical therapist records in Missouri.
All 24 in Ozark → All 4,540 in Missouri → Every provider in Ozark →
Other physical therapist records in Missouri
- Carmen Abbott, PTColumbia, MO1184953465
- Kelsey Abbott, DPTCreve Coeur, MO1598543316
- Pamela Abbott, PT, DPT, OCSSaint Louis, MO1447405055
- Tiffany Abele, PT, DPTKansas City, MO1104418870
- Margaret Abeln, PTSaint Louis, MO1568508588
- Lauren Abelson, PTKansas City, MO1801082243
- Kathy Abernathy, PTMacon, MO1386636793
- Matthew Abeyta, DPTFestus, MO1770418923
- Zachary Abkemeier, PT, DPTSaint Peters, MO1972286730
- Samuel Abraham, DPTSaint Louis, MO1689504045
Common questions
What is Kelly Black, PT's NPI number?
Kelly Black, PT's National Provider Identifier (NPI) is 1629527049, issued on Sep 27, 2016. An NPI identifies a provider in billing; it is not a license.
Where is Kelly Black, PT located?
The NPPES record lists a practice address at 1114 W Jackson St, Ozark, MO, 65721. Phone: (417) 581-1234. Providers update this record themselves, so call before visiting.
How can I verify Kelly Black, PT's license?
NPPES lists Missouri license number 2001031153, as entered by the provider. Search the Missouri board that licenses this profession; the NPPES record confirms identity only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.