Individual provider Active NPI

Kim Winterstein, PT

  • Physical Therapist
  • Raleigh, NC
National Provider Identifier
1356778724
Registry record updated Oct 1, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
P9210 Issued in NC
Practice address
7277 NC Highway 42
Suite 208
Raleigh, NC 27603-7527
Phone
(919) 773-4086
Fax
(919) 773-4087
NPI assigned
Oct 1, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 1, 2013

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 P9210 NC Primary

Addresses

Primary practice location

7277 NC Highway 42
Suite 208
Raleigh, NC 27603-7527

Mailing address

7277 NC Highway 42
Suite 208
Raleigh, NC 27603-7527
Phone (919) 773-4086

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

LicenseStateTypeSpecialty
P9210NCMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1380585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1380585600000",
    "number": "1356778724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7277 NC HIGHWAY 42",
            "address_2": "SUITE 208",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276037527",
            "telephone_number": "919-773-4086",
            "fax_number": "919-773-4087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7277 NC HIGHWAY 42",
            "address_2": "SUITE 208",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276037527",
            "telephone_number": "919-773-4086",
            "fax_number": "919-773-4087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WINTERSTEIN",
        "first_name": "KIM",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-10-01",
        "last_updated": "2013-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "P9210",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2013; 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.