Individual provider Active NPI

Erin Koenke, PT, DPT

  • Physical Therapist
  • Cary, NC
National Provider Identifier
1497114367
Registry record updated Oct 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
P16162 Issued in NC
Practice address
570 New Waverly PL Ste 120
Cary, NC 27518-7405
Phone
(919) 803-3398
NPI assigned
Feb 19, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2021

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 P16162 NC Primary

Addresses

Primary practice location

570 New Waverly PL Ste 120
Cary, NC 27518-7405

Mailing address

2121 E Williams St Ste 108
Apex, NC 27539-7765
Phone (919) 372-8412

Other practice location 1

2121 E Williams St Ste 108
Apex, NC 27539-7765
Phone (919) 372-8412

Other practice location 2

122 Branchwood Drive
Jacksonville, NC 28546-5800
Phone (910) 938-7555

Other names 1

  • Erin Kling Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160422002172 NC Practitioner - Physical Therapist in Private Practice 2264731355

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Strong Stride Physical Therapy & Performance Current Accepting new patients
Peak Performance Sports and Physical Therapy, LLC Physical Therapist CurrentSince May 31, 2019 Accepting new patients

Locations

607 Dewey Ave NW
Ste 300
Grand Rapids, MI 49504
Phone (253) 332-3398

2756 Richlands Hwy
Jacksonville, NC 28540
Phone (910) 378-0147

122 Branchwood Shopping Ctr
Jacksonville, NC 28546
Phone (910) 938-7555

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1455840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635206400000",
    "number": "1497114367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2121 E WILLIAMS ST STE 108",
            "city": "APEX",
            "state": "NC",
            "postal_code": "275397765",
            "telephone_number": "919-372-8412",
            "fax_number": "919-267-6556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "570 NEW WAVERLY PL STE 120",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275187405",
            "telephone_number": "919-803-3398"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2121 E Williams St Ste 108",
            "address_purpose": "LOCATION",
            "city": "Apex",
            "state": "NC",
            "postal_code": "275397765",
            "country_code": "US",
            "telephone_number": "919-372-8412",
            "fax_number": "919-267-6556",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "122 Branchwood Drive",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "NC",
            "postal_code": "285465800",
            "country_code": "US",
            "telephone_number": "910-938-7555",
            "fax_number": "910-938-7544",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOENKE",
        "first_name": "ERIN",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-02-19",
        "last_updated": "2021-10-26",
        "certification_date": "2021-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "P16162",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ERIN",
            "last_name": "KLING",
            "credential": "PT, DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Cary, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2021; 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.