Individual provider Active NPI

Karen Mae Stevens, M.P.T.

  • Physical Therapist
  • Kinston, NC
National Provider Identifier
1477598456
Registry record updated Jul 8, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
8745 Issued in NC
Practice address
704 Plaza Blvd
Suite C103
Kinston, NC 28501-1557
Phone
(252) 208-0989
Fax
(252) 208-0905
NPI assigned
Jun 17, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 8745 NC Primary

Addresses

Primary practice location

704 Plaza Blvd
Suite C103
Kinston, NC 28501-1557

Mailing address

704 Plaza Blvd
Suite C103
Kinston, NC 28501-1557
Phone (252) 208-0989

Other identifiers 1

IdentifierTypeStateIssuer
078HFOtherNCBCBSNC

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100330000685 NC Practitioner - Physical Therapist in Private Practice 6002942968 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Broad River RehabilitationGroup PAC ID 3375801350, 210 clinicians

Practice addresses (Care Compare)

2105 W Arlington Blvd
Greenville, NC 27834-5744
Phone (857) 625-2536

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8745NCMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Broad River Rehabilitation Physical Therapist CurrentSince Jan 9, 2026 Accepting new patients
Therapeutic Life Center, Inc. Physical Therapist Past Accepting new patients
Kinston Physical Therapy & Spine, LLC Physical Therapist PastSince Jan 7, 2011 Accepting new patients

Locations

1 Pond St
Arden, NC 28704
Phone 82877452220027

2097 W Arlington Blvd
Greenville, NC 27834
Phone (252) 355-7003

915 W Cooksey Dr
Thomasville, NC 27360
Phone (336) 313-0224

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": "1150502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1341705600000",
    "number": "1477598456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "704 PLAZA BLVD",
            "address_2": "SUITE C103",
            "city": "KINSTON",
            "state": "NC",
            "postal_code": "285011557",
            "telephone_number": "252-208-0989",
            "fax_number": "252-208-0905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "704 PLAZA BLVD",
            "address_2": "SUITE C103",
            "city": "KINSTON",
            "state": "NC",
            "postal_code": "285011557",
            "telephone_number": "252-208-0989",
            "fax_number": "252-208-0905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEVENS",
        "first_name": "KAREN",
        "middle_name": "MAE",
        "credential": "M.P.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-17",
        "last_updated": "2012-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "8745",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSNC",
            "identifier": "078HF",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kinston, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2012; 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.