Individual provider Active NPI

Kyle Adam Hensley, M.P.T.

  • Physical Therapist
  • Wilmington, NC
National Provider Identifier
1407058472
Registry record updated Jun 9, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
P14856 Issued in NC
Practice address
8115 Market St
Suite 108
Wilmington, NC 28411-8427
Phone
(910) 332-3800
Fax
(910) 763-8804
NPI assigned
Jun 1, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2014

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 9450 CO
Physical Therapist 225100000X P14856 NC Primary

Addresses

Primary practice location

8115 Market St
Suite 108
Wilmington, NC 28411-8427

Mailing address

2716 Ashton Dr
Wilmington, NC 28412-2489
Phone (910) 332-3800

Other identifiers 2

IdentifierTypeStateIssuer
P14856OtherNCNC PT LICENSE
102072369OtherOWCP FACILITY ID

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140729001932 NC Practitioner - Physical Therapist in Private Practice 1850354291 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Ohio State University College of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Emergeortho PAGroup PAC ID 0749188894, 726 clinicians

Practice addresses (Care Compare)

120 William Penn PLZ
Durham, NC 27704-2150
Phone (919) 220-5255

Merit-based Incentive Payment System (MIPS)

Final score
89.07 of 100Reported as group
Quality
85.94
Promoting interoperability
100
Improvement activities
40
Cost
77.63

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9450COMDGeneral Practice Dentistry
P14856NCMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Emergeortho PA Physical Therapist CurrentSince Jul 1, 2016 Accepting new patients
Emergeortho PA CurrentSince Jul 1, 2016 Accepting new patients
Athletic Advantage, Inc PastSince Oct 1, 1990 Accepting new patients

Locations

120 William Penn Plz
Durham, NC 27704
Phone (919) 281-1836

799 Doctors Ct
Roxboro, NC 27573
Phone (336) 599-4079

2716 Ashton Dr
Wilmington, NC 28412
Phone (910) 332-1534

8115 Market St
Ste 108
Wilmington, NC 28411
Phone (910) 763-2361

Interoperability endpoints

  • Direct secure messaging: kyle.hensley.1@847.direct.athenahealth.com

Organizations & group practices 3

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": "1180656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1402272000000",
    "number": "1407058472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2716 ASHTON DR",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284122489",
            "telephone_number": "910-332-3800",
            "fax_number": "910-251-0421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8115 MARKET ST",
            "address_2": "SUITE 108",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284118427",
            "telephone_number": "910-332-3800",
            "fax_number": "910-763-8804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENSLEY",
        "first_name": "KYLE",
        "middle_name": "ADAM",
        "credential": "M.P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-01",
        "last_updated": "2014-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "9450",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "P14856",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NC PT LICENSE",
            "identifier": "P14856",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OWCP FACILITY ID",
            "identifier": "102072369",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2014; 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.