Active NPI
Kimber Leigh Aycock, CFO
- Orthotic Fitter
- Pinehurst, NC
National Provider Identifier
1396515532
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthotic Fitter
- Practice address
- 325 Page Rd N BLDG 3
Pinehurst, NC 28374-4637 - Phone
- (910) 295-2828
- Fax
- (910) 295-2996
- NPI assigned
- Jan 8, 2024
- Last updated
- Jan 25, 2024
- 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 |
|---|---|---|---|---|
| Orthotic Fitter | 225000000X | NU | Primary |
Addresses
Primary practice location
325 Page Rd N BLDG 3
Pinehurst, NC 28374-4637
Mailing address
PO Box 4754
Pinehurst, NC 28374-4754
Phone (910) 295-2828
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sandhills Orthotics, LLC | Current | Accepting new patients | |
| Sandhills Orthotics, LLC | Past | Accepting new patients |
Locations
325 Page Rd N
Bldg 3
Pinehurst, NC 28374
Phone (910) 295-2828
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Sandhills Orthotics & Prosthetics
- Customized Equipment (DME)
- Fayetteville, NC
- NPI 1972301562
-
dba Sandhills Orthotics & Prosthetics
- Prosthetic/Orthotic Supplier
- Pinehurst, NC
- NPI 1972566016
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1704672000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1706140800000",
"number": "1396515532",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 4754",
"city": "PINEHURST",
"state": "NC",
"postal_code": "283744754",
"telephone_number": "910-295-2828",
"fax_number": "910-295-2996"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "325 PAGE RD N BLDG 3",
"city": "PINEHURST",
"state": "NC",
"postal_code": "283744637",
"telephone_number": "910-295-2828",
"fax_number": "910-295-2996"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AYCOCK",
"first_name": "KIMBER",
"middle_name": "LEIGH",
"name_prefix": "Mrs.",
"credential": "CFO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-01-08",
"last_updated": "2024-01-25",
"certification_date": "2024-01-25",
"status": "A"
},
"taxonomies": [
{
"code": "225000000X",
"taxonomy_group": "",
"desc": "Orthotic Fitter",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pinehurst, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.