Active NPI
Kristine Ann Pumpa, DPT
- Physical Therapist
- Charlotte, NC
National Provider Identifier
1265771505
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 16198
- Practice address
- 2826 Randolph Rd
Charlotte, NC 28211-1386 - Phone
- (704) 366-5521
- NPI assigned
- Feb 6, 2013
- Last updated
- Jul 27, 2016
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 16198 | NC | Primary |
| Physical Therapist | 225100000X | PT28092 | FL | |
| Physical Therapist | 225100000X | 8254 | SC |
Addresses
Primary practice location
2826 Randolph Rd
Charlotte, NC 28211-1386
Mailing address
2826 Randolph Rd
Charlotte, NC 28211-1386
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16198 | NC | MD | Pharmacist |
| PT28092 | FL | MD | Physical Therapist |
Networks
- Optimum HealthCare HMO Network
- Freedom Health HMO Network
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1360108800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1469577600000",
"number": "1265771505",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2826 RANDOLPH RD",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282111386"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2826 RANDOLPH RD",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282111386",
"telephone_number": "704-366-5521"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PUMPA",
"first_name": "KRISTINE",
"middle_name": "ANN",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-02-06",
"last_updated": "2016-07-27",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NC",
"license": "16198",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "PT28092",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "SC",
"license": "8254",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.