Individual provider Active NPI

Katherine Kennedy, PT, DPT,CSCS,PMA-CPT

  • Physical Therapist
  • Pittsboro, NC
National Provider Identifier
1013316041
Registry record updated Mar 17, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
14885 Issued in NC
Practice address
75 Freedom Parkway, Suite E
Pittsboro, NC 27312
Phone
(984) 215-3260
Fax
(984) 215-3261
NPI assigned
Aug 14, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 14885 NC Primary

Addresses

Primary practice location

75 Freedom Parkway, Suite E
Pittsboro, NC 27312

Mailing address

75 Freedom Parkway, Suite E
Pittsboro, NC 27312
Phone (984) 215-3260

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160503000003 NC Practitioner - Physical Therapist in Private Practice 2567761299 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Chatham Hospital IncGroup PAC ID 4284807868, 70 clinicians

Practice addresses (Care Compare)

475 Progress Blvd
Siler City, NC 27344-6787
Phone (919) 799-4000

75 Freedom Pkwy
Pittsboro, NC 27312-4939

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
14885NCMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Chatham Hospital, Inc. CurrentSince Mar 3, 2016 Accepting new patients

Locations

75 Freedom Pkwy
Pittsboro, NC 27312
Phone (984) 215-3252

75 Freedom Pkwy
Ste E
Pittsboro, NC 27312
Phone (984) 215-3260

475 Progress Blvd
Siler City, NC 27344
Phone (919) 799-4000

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1407974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458172800000",
    "number": "1013316041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 FREEDOM PARKWAY, SUITE E",
            "city": "PITTSBORO",
            "state": "NC",
            "postal_code": "27312",
            "telephone_number": "984-215-3260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 FREEDOM PARKWAY, SUITE E",
            "city": "PITTSBORO",
            "state": "NC",
            "postal_code": "27312",
            "telephone_number": "984-215-3260",
            "fax_number": "984-215-3261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENNEDY",
        "first_name": "KATHERINE",
        "credential": "PT, DPT,CSCS,PMA-CPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-14",
        "last_updated": "2016-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "14885",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.