Carri E Blankenship, PHYSICAL THERAPIST
Individual provider Active NPI Physical Therapist · Kitty Hawk, NC
NPI 1386701258 · NPPES record last updated Jul 2, 2009
Key facts
- NPI
- 1386701258
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 7279 (NC)
- Practice address
- 5567 N Croatan Highway
Kitty Hawk, NC 27949 - Phone
- (252) 261-1556
- Fax
- (252) 261-6161
- NPI assigned
- Jan 2, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7279 | NC | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Coastal Rehabilitation Inc | Physical Therapist | Past | Accepting new patients |
| Coastal Rehabilitation Inc | Physical Therapist | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 7279 | NC | Yes |
Addresses
Primary practice location
5567 N Croatan Highway
Kitty Hawk, NC 27949
Mailing address
101 Medical Drive
Elizabeth City, NC 27909
Phone (252) 338-2114
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 149CJ | Other | NC | BCBS |
| 7212345 | Medicaid | NC |
Other providers in Kitty Hawk, NC
- Beach Medical PLLC
- Bear Drugs Inc
- Bear Drugs Inc.
- Jacquelyn Forrest Best
- Shelly Kay Blackstone
- Kelly Hall Boutchyard
- Christina Michelle Bowen
- Donna Brickhouse
- Michael D Buglione
- Troy Lincoln Burchett
All providers in Kitty Hawk, NC · Physical Therapist in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 2, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.