Organization Active NPI

Therapy Kare, Inc

  • Pediatric Physical Therapist
  • Wilmington, NC
National Provider Identifier
1639486558
Registry record updated Jul 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Physical TherapistTaxonomy code 2251P0200X
License
10422 Issued in NC
Legal business name
THERAPY KARE, INC
Practice address
5725 Oleander Dr Ste A4
Wilmington, NC 28403-4749
Phone
(910) 392-2240
Fax
(910) 392-2242
NPI assigned
Sep 13, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2011

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

Authorized official

Name
Mrs. Kelly Ann Riley, DPTNPI 1104974534
Title
Physical Therapist
Phone
(910) 352-5577

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 225100000X 10422 NC
Pediatric Physical TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2251P0200X 10422 NC Primary
Physical Therapy Clinic/Center 261QP2000X 10422 NC

Addresses

Primary practice location

5725 Oleander Dr Ste A4
Wilmington, NC 28403-4749

Mailing address

5725 Oleander Dr Ste A4
Wilmington, NC 28403-4749
Phone (910) 392-2240

Other identifiers 1

IdentifierTypeStateIssuer
7200399MedicaidNC

National Provider Directory

National Provider Directory

Locations

5725 Oleander Dr
Ste A4
Wilmington, NC 28403
Phone (910) 352-5577

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1284336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1309478400000",
    "number": "1639486558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5725 OLEANDER DR STE A4",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284034749",
            "telephone_number": "910-392-2240",
            "fax_number": "910-392-2242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5725 OLEANDER DR STE A4",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284034749",
            "telephone_number": "910-392-2240",
            "fax_number": "910-392-2242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THERAPY KARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-13",
        "last_updated": "2011-07-01",
        "status": "A",
        "authorized_official_last_name": "RILEY",
        "authorized_official_first_name": "KELLY",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "910-352-5577",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "10422",
            "primary": false
        },
        {
            "code": "2251P0200X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist, Pediatrics",
            "state": "NC",
            "license": "10422",
            "primary": true
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NC",
            "license": "10422",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7200399",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.