Individual provider Active NPI

Katherine Garrison Allen

  • Physical Therapist
  • Wilmington, NC
National Provider Identifier
1346423613
Registry record updated May 24, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
4713 Issued in NC
Practice address
3214 Graylyn Ter
Wilmington, NC 28411-4748
Phone
(910) 520-2763
NPI assigned
Dec 10, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 24, 2012

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 4713 NC Primary

Addresses

Primary practice location

3214 Graylyn Ter
Wilmington, NC 28411-4748

Mailing address

3214 Graylyn Ter
Wilmington, NC 28411-4748
Phone (910) 520-2763

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
4713NCMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1197244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1337817600000",
    "number": "1346423613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3214 GRAYLYN TER",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284114748",
            "telephone_number": "910-520-2763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3214 GRAYLYN TER",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284114748",
            "telephone_number": "910-520-2763"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLEN",
        "first_name": "KATHERINE",
        "middle_name": "GARRISON",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-12-10",
        "last_updated": "2012-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "4713",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.