Individual provider Active NPI

Kathryn Palmer, DPT

  • Physical Therapist
  • Durham, NC
National Provider Identifier
1396220463
Registry record updated Sep 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
13439 Issued in TN
Practice address
5832 Fayetteville Rd Ste 106
Durham, NC 27713-6291
Phone
(919) 410-8840
NPI assigned
Sep 25, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 17966 NC
Physical Therapist 225100000X 13439 TN Primary

Addresses

Primary practice location

5832 Fayetteville Rd Ste 106
Durham, NC 27713-6291

Mailing address

3422 Stoneridge Dr
Johnson City, TN 37604-2181
Phone (423) 426-2270

Other names 1

  • Kathryn Cecelia Palmer Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, TN2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20181126000019 NC Practitioner - Physical Therapist in Private Practice 8325392723 Reassigns benefits to 1 organization
I20221025000488 TN Practitioner - Physical Therapist in Private Practice 8325392723 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Watauga Orthopaedics PLCGroup PAC ID 1456246479, 85 clinicians

Practice addresses (Care Compare)

2410 Susannah St
Johnson City, TN 37601-1748
Phone (423) 282-9011

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
17966NCMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
University of North Carolina Hospitals at Chapel Hill CurrentSince Mar 6, 2019 Accepting new patients
Flourish Concierge Physical Therapy, LLC Physical Therapist CurrentSince Feb 19, 2023 Accepting new patients
University of North Carolina Hospitals at Chapel Hill Physical Therapist CurrentSince Mar 6, 2019 Accepting new patients
Watauga Orthopaedics, PLC Physical Therapist CurrentSince Apr 28, 2024 Accepting new patients
University of North Carolina Hospitals at Chapel Hill Current Accepting new patients
Watauga Orthopaedics PLC Physical Therapist CurrentSince Apr 28, 2024 Accepting new patients
State of Franklin Healthcare Associates PLLC CurrentSince Nov 1, 2022 Accepting new patients

Locations

350 Stonecroft Ln
Cary, NC 27519
Phone (919) 957-5908

100 Sprunt St
Chapel Hill, NC 27517
Phone (919) 843-2164

101 Manning Dr
Chapel Hill, NC 27514
Phone (984) 974-1485

340 Steeles Rd
Bristol, TN 37620
Phone (423) 282-9011

301 Med Tech Pkwy
Johnson City, TN 37604
Phone (423) 302-6239

301 Med Tech Pkwy
Ste 115
Johnson City, TN 37604
Phone (423) 794-1300

2412 Susannah St
Johnson City, TN 37601
Phone (423) 282-8070

313 Princeton Rd
Ste 3
Johnson City, TN 37601
Phone (423) 282-4819

2410 Susannah St
Johnson City, TN 37601
Phone (423) 282-9011

875 Larry Neil Way
Kingsport, TN 37660
Phone (423) 282-9011

Interoperability endpoints

  • Direct secure messaging: kathryn.palmer.1@3374.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/24871/brand/1/csg/1/fhir/r4

Organizations & group practices 7

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": "1537833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695945600000",
    "number": "1396220463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3422 STONERIDGE DR",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376042181",
            "telephone_number": "423-426-2270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5832 FAYETTEVILLE RD STE 106",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277136291",
            "telephone_number": "919-410-8840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALMER",
        "first_name": "KATHRYN",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-25",
        "last_updated": "2023-09-29",
        "certification_date": "2023-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "17966",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": "13439",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHRYN",
            "last_name": "PALMER",
            "middle_name": "CECELIA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Durham, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.