Mark Kevern, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

9721 Issued in NC

Practice address

2170 Hendersonville Rd
Arden, NC 28704-5704

Phone

(828) 808-5662

NPI assigned

Sep 14, 2006

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Duke University School of Medicine, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Compass Physical TherapyGroup PAC ID 2961789987, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Compass Physical Therapy

  • Physical Therapy Clinic/Center
  • Arden, NC
  • NPI 1194260919

  Physical Therapist

  Medicare reassignment Care Compare group NPD Authorized official
• Southern States Physical Medicine and Rehabilitation Center

  • Physical Therapist
  • Lancaster, SC
  • NPI 1023067014
  NPD
• Summit Physical Therapy, LLC

  • Physical Therapist
  • West Jefferson, NC
  • NPI 1740793413
  NPD (past)
• Greenville Proaxis Therapy LLC

  • Durable Medical Equipment & Medical Supplies
  • Greenville, SC
  • NPI 1740052000
  NPD (past)
• Proaxis Spartanburg, LLC

  • Physical Therapist
  • Spartanburg, SC
  • NPI 1902841794
  NPD (past)
• Southern States Physical Therapy LLC

  • Physical Therapist
  • Lancaster, SC
  • NPI 1285024836
  NPD (past)

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

{
    "created_epoch": "1158192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537833600000",
    "number": "1497850465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 STONE HOUSE RD",
            "city": "ARDEN",
            "state": "NC",
            "postal_code": "287046600",
            "telephone_number": "828-808-5662",
            "fax_number": "828-348-5485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2170 HENDERSONVILLE RD",
            "city": "ARDEN",
            "state": "NC",
            "postal_code": "287045704",
            "telephone_number": "828-808-5662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEVERN",
        "first_name": "MARK",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-14",
        "last_updated": "2018-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "9721",
            "primary": true
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "NC",
            "license": "9721",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LIC",
            "identifier": "4990",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PT LICENSE",
            "identifier": "9721",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nenette Keenan
• Arianne Keene, LCSW
• Evan Matthew Kennedy
• Sydney Louise Kerr
• April Brillante Kevern, PT
• Kristina Kinard, GNP-BC
• Kindred With Kristin, PLLC
• Jordan Reece Kirby, PT, DPT
• Carrie Jo Knapp, OT
• Mary W Knecht

• Physical Therapist in Arden, NC
• Providers in Arden, NC by specialty
• Physical Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.