Kelly Shannon Leu, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

P19822 Issued in NC

Practice address

204 S King St
Hendersonville, NC 28792-5059

Phone

(828) 229-7391

NPI assigned

Mar 30, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Kelly Shannon Gribben Former name

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

University of Louisville School of Medicine, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

CJKS Enterprises LLCGroup PAC ID 3274992078, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• CJKS Enterprises LLC

  dba Fyzical Therapy and Balance Center Hendersonville

  • Physical Therapy Clinic/Center
  • Hendersonville, NC
  • NPI 1073214045

  Physical Therapist

  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1680134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784851200000",
    "number": "1295430387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 HIBRITEN DR",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288010143",
            "telephone_number": "614-397-5280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 S KING ST",
            "city": "HENDERSONVILLE",
            "state": "NC",
            "postal_code": "287925059",
            "telephone_number": "828-229-7391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEU",
        "first_name": "KELLY",
        "middle_name": "SHANNON",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-30",
        "last_updated": "2026-07-24",
        "certification_date": "2026-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "P19822",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELLY",
            "last_name": "GRIBBEN",
            "middle_name": "SHANNON",
            "credential": "PT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Dolores C Leleux, PA-C
• Martin S. Lemyre, MD
• Chadwick Leo, D.O.
• Patricia R Leocha, L.C.S.W.
• Wendy Leogrande, NP
• Jan F Levene, M.D.
• Mark Levi, DC
• Edward Alan Lewis, MD
• Marialyce Lewis
• Ross Lewis, PHARMD

• Physical Therapist in Hendersonville, NC
• Providers in Hendersonville, NC by specialty
• Physical Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2026; 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.

Verify at the official NPI Registry.