Active NPI
Kimberly Elizabeth Culler, PTA
- Physical Therapy Assistant
- Greenville, NC
National Provider Identifier
1376150094
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- A7274
- Practice address
- 836 Winestone CT
Greenville, NC 27858-9005 - Phone
- (252) 339-1949
- NPI assigned
- Sep 27, 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 Therapy Assistant | 225200000X | A7274 | NC | Primary |
Addresses
Primary practice location
836 Winestone CT
Greenville, NC 27858-9005
Mailing address
836 Winestone CT
Greenville, NC 27858-9005
Phone (252) 339-1949
Other names 1
- Miss Kimberly Elizabeth Greene
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 |
|---|---|---|---|
| A7274 | NC | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1601164800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1601164800000",
"number": "1376150094",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "836 WINESTONE CT",
"city": "GREENVILLE",
"state": "NC",
"postal_code": "278589005",
"telephone_number": "252-339-1949"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "836 WINESTONE CT",
"city": "GREENVILLE",
"state": "NC",
"postal_code": "278589005",
"telephone_number": "252-339-1949"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CULLER",
"first_name": "KIMBERLY",
"middle_name": "ELIZABETH",
"name_prefix": "Mrs.",
"credential": "PTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-09-27",
"last_updated": "2020-09-27",
"certification_date": "2020-09-27",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "NC",
"license": "A7274",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KIMBERLY",
"last_name": "GREENE",
"middle_name": "ELIZABETH",
"prefix": "MISS",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Greenville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 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.