Active NPI
Kevin Stapleton, DPT
- Physical Therapist
- Raleigh, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- P22020
- Practice address
- 3001 Edwards Mill Rd Ste 200
Raleigh, NC 27612-5243 - Phone
- (919) 781-4060
- Fax
- (919) 863-6825
- NPI assigned
- Feb 7, 2022
- Last updated
- May 13, 2024
- Sex
- Male
- 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 | PT030215 | PA | |
| Physical Therapist | 225100000X | P22020 | NC | Primary |
Addresses
Primary practice location
3001 Edwards Mill Rd Ste 200
Raleigh, NC 27612-5243
Mailing address
3001 Edwards Mill Rd # 200
Raleigh, NC 27612-5243
Phone (919) 781-4060
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | http://cernerapps.indianarmc.org/Citrix/ProdWeb/ | Health Information Exchange (HIE) | |
| Direct Messaging Address | kevin.stapleton@irmc.cernerdirect.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2010 Shelly Dr
Indiana, PA 15701-2388
Phone (724) 349-2276
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.67 of 100
- Quality
- 85.21
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 77.85
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Indiana Total Therapy Inc | Physical Therapist | Current | Accepting new patients |
| Indiana Total Therapy | Physical Therapist | Current | Accepting new patients |
| Unc Physicians Group Practices II, LLC | Past | Accepting new patients |
Locations
120 Irmc Dr
Ste 120
Indiana, PA 15701
Phone (724) 357-7068
2010 Shelly Dr
Indiana, PA 15701
Phone (724) 349-2276
Interoperability endpoints
- https://api.platform.athenahealth.com/10717/brand/1/csg/1/fhir/r4
- kevin.stapleton.p12@direct.athleticoltd.nextgenshare.com
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
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- NPI 1306081823
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- Homer City, PA
- NPI 1568694719
-
dba UNC Health Cary Orthopaedic and Sports Medicine Specialists
- Sports Medicine (Orthopaedic Surgery) Physician
- Cary, NC
- NPI 1053919183
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1644192000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1715558400000",
"number": "1164176459",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3001 EDWARDS MILL RD # 200",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276125243",
"telephone_number": "919-781-4060",
"fax_number": "919-863-6821"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3001 EDWARDS MILL RD STE 200",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276125243",
"telephone_number": "919-781-4060",
"fax_number": "919-863-6825"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STAPLETON",
"first_name": "KEVIN",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-02-07",
"last_updated": "2024-05-13",
"certification_date": "2024-05-13",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "PA",
"license": "PT030215",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NC",
"license": "P22020",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "SOAP",
"endpointTypeDescription": "SOAP URL",
"endpoint": "http://cernerapps.indianarmc.org/Citrix/ProdWeb/",
"affiliation": "N",
"endpointDescription": "EMR System",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "120 Irmc Dr Ste 120",
"city": "Indiana",
"state": "PA",
"country_code": "US",
"postal_code": "157013674",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "kevin.stapleton@irmc.cernerdirect.com",
"affiliation": "N",
"endpointDescription": "cerner millennium direct messaging address",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "direct messaging address",
"address_1": "2010 Shelly Dr",
"city": "Indiana",
"state": "PA",
"country_code": "US",
"postal_code": "157012388",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 May 13, 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.