Active NPI
Krystle Ann Hornaday, PTA
- Physical Therapy Assistant
- Kinston, NC
National Provider Identifier
1306594536
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 5057
- Practice address
- 312 Warren Ave
Kinston, NC 28501-3840 - Phone
- (252) 523-0082
- NPI assigned
- Mar 16, 2022
- Last updated
- Mar 16, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 5057 | NC | Primary |
Addresses
Primary practice location
312 Warren Ave
Kinston, NC 28501-3840
Mailing address
2511 Sweet Home Rd
Williamston, NC 27892-7652
Phone (252) 217-8193
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5057 | NC | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1647388800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1647388800000",
"number": "1306594536",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2511 SWEET HOME RD",
"city": "WILLIAMSTON",
"state": "NC",
"postal_code": "278927652",
"telephone_number": "252-217-8193"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "312 WARREN AVE",
"city": "KINSTON",
"state": "NC",
"postal_code": "285013840",
"telephone_number": "252-523-0082"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HORNADAY",
"first_name": "KRYSTLE",
"middle_name": "ANN",
"name_prefix": "Ms.",
"credential": "PTA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-03-16",
"last_updated": "2022-03-16",
"certification_date": "2022-03-16",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "NC",
"license": "5057",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kinston, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.