Katrina Faulkner

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

A6935 Issued in NC

Practice address

7900 Matthews Mint Hill Rd Ste 107E
Mint Hill, NC 28227-6567

Phone

(704) 905-1333

NPI assigned

Dec 15, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Origin Rehabilitation, LLC

  • Physical Therapist
  • Mint Hill, NC
  • NPI 1073137410

  Physical Therapy Assistant

  NPD

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

{
    "created_epoch": "1639526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639526400000",
    "number": "1639838717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7900 MATTHEWS MINT HILL RD STE 107E",
            "city": "MINT HILL",
            "state": "NC",
            "postal_code": "282276567",
            "telephone_number": "704-905-1333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7900 MATTHEWS MINT HILL RD STE 107E",
            "city": "MINT HILL",
            "state": "NC",
            "postal_code": "282276567",
            "telephone_number": "704-905-1333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAULKNER",
        "first_name": "KATRINA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-12-15",
        "last_updated": "2021-12-15",
        "certification_date": "2021-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "NC",
            "license": "A6935",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heather Elkins, LMBT
• Elliotte Manor #1
• Emma Johnson Nutritionist
• David Emmons, FNP
• Encuentros Family Therapy PLLC
• Jasmin Fernandez Mercado
• Marissa Joan Ferris, OD
• Courtney Marie Fesette
• Fire & Ice Therapeutic Massage,LLC
• Flourish Youth, LLC

• Physical Therapy Assistant in Mint Hill, NC
• Providers in Mint Hill, NC by specialty
• Physical Therapy Assistant in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2021; 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.