Custom Physical Therapy and Fitness

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

CUSTOM PHYSICAL THERAPY AND FITNESS

Practice address

102 Hidden Pastures Dr Ste 106
Cramerton, NC 28032-1697

Phone

(563) 505-4524

NPI assigned

Jul 7, 2021

Last updated

Sep 28, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kathryn E Miller, DPT, OCSNPI 1033235825

Title

Owner

Phone

(563) 505-4524

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Locations

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kathryn E Miller, P.T.

  • Orthopedic Physical Therapist
  • McAdenville, NC
  • NPI 1033235825
  Medicare reassignment Care Compare group NPD Authorized official
• Alex J Brooket, DPT

  • Physical Therapist
  • Charlotte, NC
  • NPI 1013239714
  Medicare reassignment Care Compare group NPD
• Kaitlyn Michelle Dever, DPT

  • Physical Therapist
  • Charlotte, NC
  • NPI 1760083042
  Medicare reassignment Care Compare group NPD
• Marissa Medina, PT, DPT

  • Physical Therapist
  • Shelby, NC
  • NPI 1134723356
  Medicare reassignment Care Compare group NPD
• Nathan Tometich, DPT

  • Physical Therapist
  • McAdenville, NC
  • NPI 1144086265
  Medicare reassignment Care Compare group NPD
• Jonathan Bennett Hixson, DPT

  • Physical Therapist
  • Clover, SC
  • NPI 1740815786

  NC

  Medicare reassignment Care Compare group NPD
• Emily Anne Atkinson Alexander

  • Physical Therapist
  • Gastonia, NC
  • NPI 1396592168
  Medicare reassignment NPD
• Emily Grace Worley, PT, DPT

  • Physical Therapist
  • Gastonia, NC
  • NPI 1639932304
  Medicare reassignment

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

{
    "created_epoch": "1625616000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1790553600000",
    "number": "1063083384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 MAIN ST STE 130",
            "city": "MC ADENVILLE",
            "state": "NC",
            "postal_code": "281019708",
            "telephone_number": "704-560-6135",
            "fax_number": "704-397-5363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 HIDDEN PASTURES DR STE 106",
            "city": "CRAMERTON",
            "state": "NC",
            "postal_code": "280321697",
            "telephone_number": "563-505-4524"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "102 Main St Ste 130",
            "address_purpose": "LOCATION",
            "city": "Mc Adenville",
            "state": "NC",
            "postal_code": "281019708",
            "country_code": "US",
            "telephone_number": "704-560-6135",
            "fax_number": "704-397-5363",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "550 Mount Holly Medical Pkwy Ste 114",
            "address_purpose": "LOCATION",
            "city": "Belmont",
            "state": "NC",
            "postal_code": "280124390",
            "country_code": "US",
            "telephone_number": "704-616-2604",
            "fax_number": "704-397-5363",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "642 W Carpenter St",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "NC",
            "postal_code": "28034",
            "country_code": "US",
            "telephone_number": "704-560-6135",
            "fax_number": "704-397-5363",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CUSTOM PHYSICAL THERAPY AND FITNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-07",
        "last_updated": "2026-09-28",
        "certification_date": "2026-09-24",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "KATHRYN",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "563-505-4524",
        "authorized_official_credential": "DPT, OCS"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physical Therapist in Cramerton, NC
• Providers in Cramerton, 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 Sep 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.