Individual provider Active NPI

Karin Kay Hetherington, P.T.

  • Physical Therapist
  • Brevard, NC
National Provider Identifier
1114138567
Registry record updated May 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
P22984 Issued in NC
Practice address
89 Hospital Dr Ste a
Brevard, NC 28712-4838
Phone
(828) 258-8800
Fax
(828) 258-0416
NPI assigned
May 25, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 14, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT003583 GA
Physical Therapist 225100000X P22984 NC Primary

Addresses

Primary practice location

89 Hospital Dr Ste a
Brevard, NC 28712-4838

Mailing address

PO Box 5105
Belfast, ME 04915-5100
Phone (828) 258-8800

Other practice location 1

2155 Post Oak Tritt Rd
Suite 400
Marietta, GA 30062-8620
Phone (770) 565-4044

Other identifiers 1

IdentifierTypeStateIssuer
P22984OtherNCPT LICENSE

Other names 1

  • Karin K Carlson Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240613002194 NC Practitioner - Physical Therapist in Private Practice 1355884768 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Emergeortho PAGroup PAC ID 0749188894, 726 clinicians

Practice addresses (Care Compare)

120 William Penn PLZ
Durham, NC 27704-2150
Phone (919) 220-5255

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT003583GAMDPhysical Therapist
P22984NCMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Emergeortho PA CurrentSince May 16, 2024 Accepting new patients
Emergeortho PA Physical Therapist CurrentSince May 16, 2024 Accepting new patients

Locations

89 Hospital Dr
Ste A
Brevard, NC 28712
Phone (828) 862-6368

120 William Penn Plz
Durham, NC 27704
Phone (919) 281-1836

Interoperability endpoints

  • Direct secure messaging: karin.hetherington.1@847.direct.athenahealth.com

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": "1180051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715644800000",
    "number": "1114138567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5105",
            "city": "BELFAST",
            "state": "ME",
            "postal_code": "049155100",
            "telephone_number": "828-258-8800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "89 HOSPITAL DR STE A",
            "city": "BREVARD",
            "state": "NC",
            "postal_code": "287124838",
            "telephone_number": "828-258-8800",
            "fax_number": "828-258-0416"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2155 Post Oak Tritt Rd",
            "address_2": "Suite 400",
            "address_purpose": "LOCATION",
            "city": "Marietta",
            "state": "GA",
            "postal_code": "300628620",
            "country_code": "US",
            "telephone_number": "770-565-4044",
            "fax_number": "770-565-5653",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HETHERINGTON",
        "first_name": "KARIN",
        "middle_name": "KAY",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-25",
        "last_updated": "2024-05-14",
        "certification_date": "2024-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT003583",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "P22984",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PT LICENSE",
            "identifier": "P22984",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KARIN",
            "last_name": "CARLSON",
            "middle_name": "K",
            "credential": "PT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Brevard, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2024; 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.