Individual provider Active NPI

Kerri Lynn Cleaver, DPT

  • Orthopedic Physical Therapist
  • Raleigh, NC
National Provider Identifier
1073727913
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
8967 Issued in NC
Practice address
4601 Lake Boone TRL Ste 2E
Raleigh, NC 27607-7518
Phone
(919) 781-3978
Fax
(919) 781-4315
NPI assigned
May 10, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X 8967 NC Primary

Addresses

Primary practice location

4601 Lake Boone TRL Ste 2E
Raleigh, NC 27607-7518

Mailing address

5708 Quail Covey LN
Wendell, NC 27591-9503
Phone (919) 217-5089

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

Practice roles

OrganizationSpecialtyStatusNew patients
Sports & More Physical Therapy, Inc. Orthopedic Past Accepting new patients
Keller Management, LLC Orthopedic PastSince Jan 1, 2013 Accepting new patients
Capital City Health Care Providers, Inc. Past Accepting new patients

Organizations & group practices 3

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": "1178755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1073727913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5708 QUAIL COVEY LN",
            "city": "WENDELL",
            "state": "NC",
            "postal_code": "275919503",
            "telephone_number": "919-217-5089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4601 LAKE BOONE TRL STE 2E",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276077518",
            "telephone_number": "919-781-3978",
            "fax_number": "919-781-4315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLEAVER",
        "first_name": "KERRI",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "NC",
            "license": "8967",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.