Kaitlyn Baxley, DPT
Individual provider Active NPI Physical Therapist · Fayetteville, NC
NPI 1154050946 · NPPES record last updated Jun 7, 2022
Key facts
- NPI
- 1154050946
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- P21350 (NC)
- Practice address
- 501 Executive PL
Fayetteville, NC 28305-5390 - Phone
- (910) 423-5550
- Fax
- (910) 423-5552
- NPI assigned
- Jun 7, 2022
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Advanced Physical Therapy Solutions LLC
Practice addresses (Care Compare)
501 Executive PL
Fayetteville, NC 28305-5390
Phone (910) 423-5550
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NC
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220711002724 | NC | Practitioner - Physical Therapist in Private Practice | 3971983750 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced Physical Therapy Solutions LLC | Physical Therapist | Current |
Accepting new patients |
Locations
501 Executive Pl
Fayetteville, NC 28305
Phone (910) 423-5550
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | P21350 | NC | Yes |
Addresses
Primary practice location
501 Executive PL
Fayetteville, NC 28305-5390
Mailing address
501 Executive PL
Fayetteville, NC 28305-5390
Phone (910) 423-5550
Other names
- Kaitlyn Jackson
Other providers in Fayetteville, NC
- Shannon M Battle
- David Baumgarten
- Michael Christopher Baush
- Erica Bautista
- James L Bax
- Kristi Baxley
- Mardee L Baxley
- Connie Baxter
- Salena Antonette Baxter
- Bayada Home Health Care, Inc.
All providers in Fayetteville, NC · Physical Therapist in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 7, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.