Individual provider Active NPI

Kristy Joy Fleming, PT

  • Physical Therapist
  • Waxhaw, NC
National Provider Identifier
1023326360
Registry record updated Jun 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
8778 Issued in NC
Practice address
1229 Toteros Dr
Waxhaw, NC 28173-6950
Phone
(704) 649-4509
Fax
(704) 843-9045
NPI assigned
Sep 21, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2021

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 8778 NC Primary

Addresses

Primary practice location

1229 Toteros Dr
Waxhaw, NC 28173-6950

Mailing address

1229 Toteros Dr
Waxhaw, NC 28173-6950
Phone (704) 649-4509

Other practice location 1

10200 Oak Pond Cir
Charlotte, NC 28277-9538
Phone (704) 841-7274

Other names 1

  • Kristy Krantz Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
8778NCMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Sprout Developmental Services Past Accepting new patients
Milestone Therapy Inc Physical Therapist PastSince Jun 22, 2021 Accepting new patients

Organizations & group practices 2

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": "1285027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623801600000",
    "number": "1023326360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1229 TOTEROS DR",
            "city": "WAXHAW",
            "state": "NC",
            "postal_code": "281736950",
            "telephone_number": "704-649-4509",
            "fax_number": "704-843-9045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1229 TOTEROS DR",
            "city": "WAXHAW",
            "state": "NC",
            "postal_code": "281736950",
            "telephone_number": "704-649-4509",
            "fax_number": "704-843-9045"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10200 Oak Pond Cir",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282779538",
            "country_code": "US",
            "telephone_number": "704-841-7274",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FLEMING",
        "first_name": "KRISTY",
        "middle_name": "JOY",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-09-21",
        "last_updated": "2021-06-16",
        "certification_date": "2021-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "8778",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTY",
            "last_name": "KRANTZ",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Waxhaw, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.