Active NPI
KJC Corp
- Physical Therapist
- Chapel Hill, NC
National Provider Identifier
1497724660
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Legal business name
- KJC CORP
- Practice address
- 1709 Legion Rd Ste 100
Chapel Hill, NC 27517-2373 - Phone
- (919) 932-7266
- Fax
- (919) 932-7250
- NPI assigned
- Mar 17, 2006
- 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
- Deana McCollum
- Title
- Office Manager
- Phone
- (919) 932-7266
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | Primary |
Addresses
Primary practice location
1709 Legion Rd Ste 100
Chapel Hill, NC 27517-2373
Mailing address
1709 Legion Rd Ste 100
Chapel Hill, NC 27517-2373
Phone (919) 932-7266
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DU4453 | Other | RAILROAD MEDICARE | |
| 013CA | Other | NC | BLUE CROSS OF NC |
Other names 1
- Advance Physical Therapy
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
1709 Legion Rd
Ste 100
Chapel Hill, NC 27517
Phone (919) 932-7266
Ownership & related parties
Subparts reporting this organization as parent 1
Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.
-
- Physical Therapy Clinic/Center
- Chapel Hill, NC
- NPI 1891236311
Practitioners & affiliated clinicians
Practitioners 5
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physical Therapist
- Chapel Hill, NC
- NPI 1225008204
-
- Physical Therapist
- Chapel Hill, NC
- NPI 1356300396
-
- Physical Therapist
- Chapel Hill, NC
- NPI 1699071720
-
- Physical Therapist
- Chapel Hill, NC
- NPI 1649978453
-
- Physical Therapist
- Chapel Hill, NC
- NPI 1396494100
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142553600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1754352000000",
"number": "1497724660",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1709 LEGION RD STE 100",
"city": "CHAPEL HILL",
"state": "NC",
"postal_code": "275172373",
"telephone_number": "919-932-7266",
"fax_number": "919-932-7250"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1709 LEGION RD STE 100",
"city": "CHAPEL HILL",
"state": "NC",
"postal_code": "275172373",
"telephone_number": "919-932-7266",
"fax_number": "919-932-7250"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KJC CORP",
"organizational_subpart": "NO",
"enumeration_date": "2006-03-17",
"last_updated": "2025-08-05",
"certification_date": "2025-08-05",
"status": "A",
"authorized_official_last_name": "MCCOLLUM",
"authorized_official_first_name": "DEANA",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "919-932-7266"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "DU4453",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS OF NC",
"identifier": "013CA",
"state": "NC"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Advance Physical Therapy",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Chapel Hill, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 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.