Individual provider Active NPI

Kristin Layne Wyatt, PT

  • Physical Therapist
  • Huntersville, NC
National Provider Identifier
1306564299
Registry record updated Aug 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
21451 Issued in NC
Practice address
9611 Sherrill Estates Rd Ste a
Huntersville, NC 28078-6504
Phone
(980) 222-1141
Fax
(980) 220-4010
NPI assigned
Aug 17, 2022
Last updated
Aug 17, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 21451 NC Primary

Addresses

Primary practice location

9611 Sherrill Estates Rd Ste a
Huntersville, NC 28078-6504

Mailing address

110 Wades Way Apt 305
Mooresville, NC 28117-8764
Phone (919) 265-8478

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL www.heno.io Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230126000129 NC Practitioner - Physical Therapist in Private Practice 3577934736 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
21451NCMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Crush It Athletics and Physical Therapy Physical Therapist Current Accepting new patients
Foot & Ankle Associates PLLC CurrentSince Apr 29, 2024 Accepting new patients
Movement Solutions Physical Therapy LLC Physical Therapist CurrentSince Aug 28, 2022 Accepting new patients

Locations

15419 Hodges Cir
Ste 200
Huntersville, NC 28078
Phone (704) 360-1102

9611 Sherrill Estates Rd
Ste A
Huntersville, NC 28078
Phone (704) 604-0568

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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.

NPI Registry JSON

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

{
    "created_epoch": "1660694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660694400000",
    "number": "1306564299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 WADES WAY APT 305",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281178764",
            "telephone_number": "919-265-8478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9611 SHERRILL ESTATES RD STE A",
            "city": "HUNTERSVILLE",
            "state": "NC",
            "postal_code": "280786504",
            "telephone_number": "980-222-1141",
            "fax_number": "980-220-4010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WYATT",
        "first_name": "KRISTIN",
        "middle_name": "LAYNE",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-17",
        "last_updated": "2022-08-17",
        "certification_date": "2022-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "21451",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.heno.io",
            "affiliation": "N",
            "endpointDescription": "EMR",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "9611 Sherrill Estates Rd Ste A",
            "city": "Huntersville",
            "state": "NC",
            "country_code": "US",
            "postal_code": "280786504",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Huntersville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.