Active NPI
Trisha M Kernodle, MPT
- Physical Therapist
- Raleigh, NC
National Provider Identifier
1487677183
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 10911
- Practice address
- 3001 Edwards Mill Rd # 200
Raleigh, NC 27612-5243 - Phone
- (919) 781-4060
- NPI assigned
- Jul 25, 2006
- 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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT008481 | GA | |
| Physical Therapist | 225100000X | 10911 | NC | Primary |
Addresses
Primary practice location
3001 Edwards Mill Rd # 200
Raleigh, NC 27612-5243
Mailing address
2600 New Bern Ave
Raleigh, NC 27610-1821
Phone (203) 257-0719
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2504223 | Other | NC | MEDICARE INDIVIDUAL PTAN |
Other names 1
- Trisha M Horvath
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 007628 | CT | MD | General Practice Dentistry |
| PT008481 | GA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advance Rehabilitation and Consulting | Physical Therapist | Past | Accepting new patients |
| Hands on Physical Therapy, Inc | Past | Accepting new patients | |
| Hands on Physical Therapy, Inc | Physical Therapist | Past | Accepting new patients |
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.
-
- Physical Therapist
- Cary, NC
- NPI 1710174859
-
- Physical Therapy Clinic/Center
- Clayton, NC
- NPI 1912955279
-
- Physical Therapist
- Rome, GA
- NPI 1174518682
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153785600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1510012800000",
"number": "1487677183",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2600 NEW BERN AVE",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276101821",
"telephone_number": "203-257-0719"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3001 EDWARDS MILL RD # 200",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276125243",
"telephone_number": "919-781-4060"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KERNODLE",
"first_name": "TRISHA",
"middle_name": "M",
"name_prefix": "Mrs.",
"credential": "MPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-25",
"last_updated": "2017-11-07",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "GA",
"license": "PT008481",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NC",
"license": "10911",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE INDIVIDUAL PTAN",
"identifier": "2504223",
"state": "NC"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "TRISHA",
"last_name": "HORVATH",
"middle_name": "M",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Raleigh, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.