Kenneth Spores, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

8262 Issued in NC

Practice address

304 W Weaver St
Ste 103
Carrboro, NC 27510-2084

Phone

(919) 942-0240

Fax

(919) 942-0280

NPI assigned

Jul 5, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• North Carolina Spine Center PA

  • Orthopaedic Surgery of the Spine Physician
  • Chapel Hill, NC
  • NPI 1922093434

  Physical Therapist

  NPD (past)
• Team Care Manual & Physical Therapy Company Inc

  • Physical Therapist
  • Cary, NC
  • NPI 1467492835
  NPD (past)
• Team Care Physical Therapy

  • Orthopedic Physical Therapist
  • Cary, NC
  • NPI 1447239918

  Orthopedic

  NPD (past)
• Proaxis Therapy SC, LLC

  • Physical Therapist
  • Myrtle Beach, SC
  • NPI 1881967024
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1437609600000",
    "number": "1275564429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "790 REMINGTON BLVD",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604404909",
            "telephone_number": "630-296-2223",
            "fax_number": "630-759-9510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "304 W WEAVER ST",
            "address_2": "STE 103",
            "city": "CARRBORO",
            "state": "NC",
            "postal_code": "275102084",
            "telephone_number": "919-942-0240",
            "fax_number": "919-942-0280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPORES",
        "first_name": "KENNETH",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-05",
        "last_updated": "2015-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "NC",
            "license": "8262",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "8262",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jamie Stein Smolko, PMHNP-BC
• Carolyn Beth Snock, RD, LDN, CNSC
• Sally Soliman, AGACNP
• South Orange Rescue Squad Inc
• Brenda Lee Spach, FNP
• Natasha C Springer
• Alison Orell Stackpole, M.S., CCC-SLP
• Hannah Steen, MS CF SLP
• Jaime Stein
• Leslie G. Stevens, M.ED., LPC

• All providers in Carrboro, NC
• Physical Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.