James Kenner Jr., PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

12675 Issued in NC

Practice address

2111 Neuse Blvd Ste K
New Bern, NC 28560-4318

Phone

(252) 637-5001

Fax

(252) 637-5007

NPI assigned

Jun 14, 2010

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Craven Physical Therapy and Spine IncGroup PAC ID 0446331433, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Craven Physical Therapy & Spine, Inc

  • Specialist
  • New Bern, NC
  • NPI 1730374810

  Physical Therapist

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1276473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1276473600000",
    "number": "1053632166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2111 NEUSE BLVD STE K",
            "city": "NEW BERN",
            "state": "NC",
            "postal_code": "285604318",
            "telephone_number": "252-637-5001",
            "fax_number": "252-637-5007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2111 NEUSE BLVD STE K",
            "city": "NEW BERN",
            "state": "NC",
            "postal_code": "285604318",
            "telephone_number": "252-637-5001",
            "fax_number": "252-637-5007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENNER",
        "first_name": "JAMES",
        "name_suffix": "Jr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-06-14",
        "last_updated": "2010-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "12675",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Colleen Lora Jaimie Kelly, PA-C
• Jennifer Lea Kelly, OT/L
• Nicole R Kelly, NP
• Averi Lynn Kempf, NP
• Ashton Spruill Kennedy, PA-C
• Kenneth E.Holton D.D.S.,P.a.
• Kenneth Klein
• Kenneth W. Gibbs, D.M.D., P.a.
• Carrie Sheek Kent, MD
• Debra Joyce Kenyear, LMFT

• Physical Therapist in New Bern, NC
• Providers in New Bern, NC by specialty
• Physical Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2010; 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.