Active NPI
Kelli P King, PT
- Physical Therapist
- Hendersonville, NC
National Provider Identifier
1306959473
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 9425
- Practice address
- 2875 Pace Rd
Hendersonville, NC 28792-9039 - Phone
- (828) 692-7068
- NPI assigned
- Aug 15, 2006
- Last updated
- Sep 10, 2020
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 9425 | NC | Primary |
Addresses
Primary practice location
2875 Pace Rd
Hendersonville, NC 28792-9039
Mailing address
228 Davis St
Hendersonville, NC 28739-5264
Phone (828) 692-7068
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 |
|---|---|---|---|
| 9425 | NC | MD | Orthodontics and Dentofacial Orthopedic Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155600000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1599696000000",
"number": "1306959473",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "228 DAVIS ST",
"city": "HENDERSONVILLE",
"state": "NC",
"postal_code": "287395264",
"telephone_number": "828-692-7068"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2875 PACE RD",
"city": "HENDERSONVILLE",
"state": "NC",
"postal_code": "287929039",
"telephone_number": "828-692-7068"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KING",
"first_name": "KELLI",
"middle_name": "P",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-15",
"last_updated": "2020-09-10",
"certification_date": "2020-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NC",
"license": "9425",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hendersonville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.