Active NPI
Kristen McCoy Lee, PT
- Physical Therapist
- Wilmington, NC
National Provider Identifier
1477839686
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- P2763
- Practice address
- 3901 Wrightsville Ave Ste 120
Wilmington, NC 28403-6256 - Phone
- (910) 679-8385
- NPI assigned
- Nov 1, 2011
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Geriatric Physical Therapist | 2251G0304X | 2763 | NC | |
| Physical Therapist | 225100000X | P2763 | NC | Primary |
Addresses
Primary practice location
3901 Wrightsville Ave Ste 120
Wilmington, NC 28403-6256
Mailing address
1011 Porters Neck Rd
Wilmington, NC 28411-9196
Phone (910) 566-1200
Other practice location 1
1011 Porters Neck Rd
Wilmington, NC 28411-9196
Phone (910) 566-1200
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200615002517 | NC | Practitioner - Physical Therapist in Private Practice | 2062834385 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2763 | NC | MD | Chiropractor |
| P2763 | NC | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Coastline Therapy Group, LLC | Physical Therapist | Current | Accepting new patients |
| Coastal Speech and Reading Center | Past | Accepting new patients |
Locations
3901 Wrightsville Ave
Ste 120
Wilmington, NC 28403
4130 Oleander Dr
Ste 101
Wilmington, NC 28403
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 and National Provider Directory roles.
-
- Speech-Language Pathologist
- Wilmington, NC
- NPI 1730681388
NC, Physical Therapist
-
- Speech-Language Pathologist
- Lumberton, NC
- NPI 1649626466
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1320105600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1738713600000",
"number": "1477839686",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1011 PORTERS NECK RD",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284119196",
"telephone_number": "910-566-1200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3901 WRIGHTSVILLE AVE STE 120",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284036256",
"telephone_number": "910-679-8385"
}
],
"practiceLocations": [
{
"address_1": "1011 Porters Neck Rd",
"address_purpose": "LOCATION",
"city": "Wilmington",
"state": "NC",
"postal_code": "284119196",
"country_code": "US",
"telephone_number": "910-566-1200",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LEE",
"first_name": "KRISTEN",
"middle_name": "MCCOY",
"name_prefix": "Mrs.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-11-01",
"last_updated": "2025-02-05",
"certification_date": "2025-02-05",
"status": "A"
},
"taxonomies": [
{
"code": "2251G0304X",
"taxonomy_group": "",
"desc": "Physical Therapist, Geriatrics",
"state": "NC",
"license": "2763",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NC",
"license": "P2763",
"primary": true
}
],
"identifiers": [],
"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 Feb 5, 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.