Individual provider Active NPI

Elizabeth Kay Wells, PT, DPT

  • Pediatric Physical Therapist
  • Kings Mountain, NC
National Provider Identifier
1336790377
Registry record updated Apr 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Physical TherapistTaxonomy code 2251P0200X
License
P18641 Issued in NC
Practice address
110 W King St Ste 9
Kings Mountain, NC 28086-3437
Phone
(704) 739-5995
Fax
(704) 739-2442
NPI assigned
Sep 20, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Physical Therapist 2251P0200X P18641 NC Primary

Addresses

Primary practice location

110 W King St Ste 9
Kings Mountain, NC 28086-3437

Mailing address

1377 Motor Pkwy Ste 307
Islandia, NY 11749-5258
Phone (914) 294-4050

Other practice location 1

2425 Satchel Ln
Concord, NC 28027-2860
Phone (973) 896-4332

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210212001199 NC Practitioner - Physical Therapist in Private Practice 5698180222 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Cleveland Physical Therapy Associates Inc CurrentSince Feb 14, 2021 Accepting new patients
Atrium Health Specialty Network Inc CurrentSince Oct 23, 2025 Accepting new patients
Lifetouchtherapy, PLLC PastSince Sep 1, 2019 Accepting new patients

Locations

3030 Randolph Rd
Ste 105A
Charlotte, NC 28211
Phone (704) 512-4420

4525 Cameron Valley Pkwy
Charlotte, NC 28211
Phone (704) 355-5100

16455 Statesville Rd
Ste 300
Huntersville, NC 28078
Phone (704) 801-3719

110 W King St
Ste 9
Kings Mountain, NC 28086
Phone (704) 471-0001

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1568937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744588800000",
    "number": "1336790377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1377 MOTOR PKWY STE 307",
            "city": "ISLANDIA",
            "state": "NY",
            "postal_code": "117495258",
            "telephone_number": "914-294-4050",
            "fax_number": "631-760-8306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 W KING ST STE 9",
            "city": "KINGS MOUNTAIN",
            "state": "NC",
            "postal_code": "280863437",
            "telephone_number": "704-739-5995",
            "fax_number": "704-739-2442"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2425 Satchel Ln",
            "address_purpose": "LOCATION",
            "city": "Concord",
            "state": "NC",
            "postal_code": "280272860",
            "country_code": "US",
            "telephone_number": "973-896-4332",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WELLS",
        "first_name": "ELIZABETH",
        "middle_name": "KAY",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-20",
        "last_updated": "2025-04-14",
        "certification_date": "2025-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "NC",
            "license": "P18641",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kings Mountain, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2025; 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.