Kacey L Neubauer

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

P22745 Issued in NC

Practice address

1630 Campus Park Dr Ste D
Monroe, NC 28112-5270

Phone

(704) 283-9422

NPI assigned

Nov 17, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

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.

• Select Physical Therapy Holdings Inc

  • Physical Therapy Clinic/Center
  • Charlotte, NC
  • NPI 1669432175
  Medicare reassignment NPD
• Select Physical Therapy Holdings Inc

  • Physical Therapy Clinic/Center
  • Ashland, VA
  • NPI 1174591218
  NPD

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

{
    "created_epoch": "1668643200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699574400000",
    "number": "1639888704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1630 CAMPUS PARK DR STE D",
            "city": "MONROE",
            "state": "NC",
            "postal_code": "281125270",
            "telephone_number": "704-283-9422",
            "fax_number": "704-283-9423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1630 CAMPUS PARK DR STE D",
            "city": "MONROE",
            "state": "NC",
            "postal_code": "281125270",
            "telephone_number": "704-283-9422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEUBAUER",
        "first_name": "KACEY",
        "middle_name": "L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-17",
        "last_updated": "2023-11-10",
        "certification_date": "2023-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NH",
            "license": "5079",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "P22745",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Neighborhood Nurses Health Care Services, Inc.
• Neighborhood Nurses Health Care Services, Inc.
• Neighborhood Nurses Health Care Services, Inc.
• Mary Ann Nelson, L.P.C.
• Cierra Nesbitt
• Lee Neulicht, SSP
• Neurology, Neurodiagnostic & Pain Clinic
• New Testament Baptist Church of Monroe, Inc.
• Stacy Lynn New
• Tony Gerald New III

• Physical Therapist in Monroe, NC
• Providers in Monroe, 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 Nov 10, 2023; 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.