Active NPI
Karin Kay Hetherington, P.T.
- Physical Therapist
- Brevard, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- P22984
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P22984 | Other | NC | PT LICENSE |
Other names 1
- Karin K Carlson
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| PT003583 | GA | MD | Physical Therapist |
| P22984 | NC | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emergeortho PA | Current | Accepting new patients | |
| Emergeortho PA | Physical Therapist | Current | 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
- 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.
-
- Durable Medical Equipment & Medical Supplies
- Eden, NC
- NPI 1841170222
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
- Van Edward Helms, MD
- Robert Charles Hendel, M.D.
- Henderson County Hospital Corporation
- Henderson County Hospital Corporation
- Henderson County Hospital Corporation
- Lauren Nicole Hierholzer, DPT
- Kristan Hennessee Hinson, LPC
- Lester Earl Hinson, LCMHC, LCAS
- James A Hoffmeister, M.D.
- Catherine M Holland, MA, LPC, LMHC
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.