Individual provider Active NPI

Kristoffer Lee Leamon, PT, DPT, LAT, ATC

  • Physical Therapist
  • Greensboro, NC
National Provider Identifier
1427335322
Registry record updated Feb 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
P16125 Issued in NC
Practice address
1211 Virginia St
Greensboro, NC 27401-1313
Phone
(336) 275-0927
Fax
(336) 275-4834
NPI assigned
Nov 7, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X 1890 NC
Physical Therapist 225100000X P16125 NC Primary

Addresses

Primary practice location

1211 Virginia St
Greensboro, NC 27401-1313

Mailing address

1025 Dicks Creek Rd
Whittier, NC 28789-7949
Phone (828) 506-0604

Other practice location 1

21 Turtle Creek Dr
Asheville, NC 28803-3152
Phone (828) 274-4555

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201210000977 NC Practitioner - Physical Therapist in Private Practice 8820400146 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Moses Cone Medical Services, Inc. CurrentSince Apr 1, 2025 Accepting new patients
Moses Cone Physician Services, Inc. CurrentSince Mar 22, 2025 Accepting new patients
Moses Cone Medical Services, Inc. CurrentSince Apr 1, 2025 Accepting new patients
Moses Cone Physician Services, Inc. Current Accepting new patients

Locations

1211 Virginia St
Greensboro, NC 27401
Phone (336) 272-0012

301 E Wendover Ave
Ste 411
Greensboro, NC 27401
Phone (336) 832-3200

709 Green Valley Rd
Fl 1
Greensboro, NC 27408
Phone (336) 890-2530

1126 N Church St
Ste 300
Greensboro, NC 27401
Phone (336) 547-1700

300 E Wendover Ave
Greensboro, NC 27401
Phone (336) 663-5205

940 Golf House Ct E
Whitsett, NC 27377
Phone (336) 449-9848

Organizations & group practices 4

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": "1320624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739923200000",
    "number": "1427335322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1025 DICKS CREEK RD",
            "city": "WHITTIER",
            "state": "NC",
            "postal_code": "287897949",
            "telephone_number": "828-506-0604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1211 VIRGINIA ST",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274011313",
            "telephone_number": "336-275-0927",
            "fax_number": "336-275-4834"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "21 Turtle Creek Dr",
            "address_purpose": "LOCATION",
            "city": "Asheville",
            "state": "NC",
            "postal_code": "288033152",
            "country_code": "US",
            "telephone_number": "828-274-4555",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEAMON",
        "first_name": "KRISTOFFER",
        "middle_name": "LEE",
        "credential": "PT, DPT, LAT, ATC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-11-07",
        "last_updated": "2025-02-19",
        "certification_date": "2025-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "NC",
            "license": "1890",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "P16125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.