Active NPI
Yadkin Physical Therapy, L.L.C.
- Physical Therapist
- Yadkinville, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Legal business name
- YADKIN PHYSICAL THERAPY, L.L.C.
- Practice address
- 102 Woodlyn Dr
Yadkinville, NC 27055-6673 - Phone
- (336) 677-1800
- Fax
- (336) 677-1802
- NPI assigned
- May 31, 2006
- Last updated
- Jan 21, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kaleb A Hill
- Title
- Owner/PT
- Phone
- (336) 677-1800
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | NU | Primary |
Addresses
Primary practice location
102 Woodlyn Dr
Yadkinville, NC 27055-6673
Mailing address
102 Woodlyn Dr
Yadkinville, NC 27055-6673
Phone (336) 677-1800
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7200452 | Medicaid | NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
102 Woodlyn Dr
Yadkinville, NC 27055
Phone (336) 677-1800
105 Woodlyn Dr
Yadkinville, NC 27055
Phone (336) 677-1800
6540 Service Rd
Yadkinville, NC 27055
Phone (336) 677-1800
Practitioners & affiliated clinicians
Practitioners 7
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Physical Therapist
- Yadkinville, NC
- NPI 1700343712
-
- Physical Therapist
- Yadkinville, NC
- NPI 1891478806
-
- Physical Therapist
- Yadkinville, NC
- NPI 1154957983
-
- Physical Therapist
- Yadkinville, NC
- NPI 1154616738
-
- Physical Therapist
- Winston Salem, NC
- NPI 1669120200
-
- Physical Therapist
- Yadkinville, NC
- NPI 1619166311
-
- Physical Therapist
- Yadkinville, NC
- NPI 1962680124
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149033600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1642723200000",
"number": "1487691390",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "102 WOODLYN DR",
"city": "YADKINVILLE",
"state": "NC",
"postal_code": "270556673",
"telephone_number": "336-677-1800",
"fax_number": "336-677-1802"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "102 WOODLYN DR",
"city": "YADKINVILLE",
"state": "NC",
"postal_code": "270556673",
"telephone_number": "336-677-1800",
"fax_number": "336-677-1802"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "YADKIN PHYSICAL THERAPY, L.L.C.",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-31",
"last_updated": "2022-01-21",
"certification_date": "2022-01-21",
"status": "A",
"authorized_official_last_name": "HILL",
"authorized_official_first_name": "KALEB",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "OWNER/PT",
"authorized_official_telephone_number": "336-677-1800"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7200452",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Yadkinville, NC
- Yadkin County DSS
- Yadkin County Schools
- Yadkin Dialysis Center of Wake Forest University (Yadkin Dialysis Center)
- Yadkin Nursing Care Center, Inc. (The Magnolias Over Yadkin)
- Yadkin Nursing Care Center, Inc.
- Yadkin Senior Services, Inc.
- Yadkin Vision Center O.D., PLLC
- Yadkin Vision Center, OD PA
- Yadkinville Chiropractic Center
- Yadkinville Chiropractic DC PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2022; 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.