Organization Active NPI

K-2 Healthcare Consulting

  • Physical Therapy Clinic/Center
  • Mooresville, NC
National Provider Identifier
1649568676
Registry record updated Apr 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
NC-6830 Issued in NC
Legal business name
K-2 HEALTHCARE CONSULTING
Practice address
508 Williamson Road
Suite 200
Mooresville, NC 28117
Phone
(704) 360-2595
Fax
(704) 360-2596
NPI assigned
Jul 12, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2021

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

Authorized official

Name
Mr. Kevin Kucko, PTNPI 1801120639
Title
Director
Phone
(704) 360-2595

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X NC-6830 NC Primary

Addresses

Primary practice location

508 Williamson Road
Suite 200
Mooresville, NC 28117

Mailing address

PO Box 3534
Mooresville, NC 28117
Phone (704) 360-2595

Other names 1

  • K2 Sports Therapy and Performance Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110915000000 NC Part B Supplier - Clinic/Group Practice 9335310721 Receives reassigned benefits from 4 practitioners
Practice locations: Mooresville, NC

National Provider Directory

National Provider Directory

Locations

514 Williamson Rd
Ste 431
Mooresville, NC 28117
Phone (704) 360-2595

508 Williamson Rd
Ste 200
Mooresville, NC 28117
Phone (704) 360-2595

514 Williamson Rd
#431K2
Mooresville, NC 28117
Phone (704) 806-9826

Practitioners & affiliated clinicians

Practitioners 6

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": "1310428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617753600000",
    "number": "1649568676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3534",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "28117",
            "telephone_number": "704-360-2595",
            "fax_number": "704-360-2596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "508 WILLIAMSON ROAD",
            "address_2": "SUITE 200",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "28117",
            "telephone_number": "704-360-2595",
            "fax_number": "704-360-2596"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "K-2 HEALTHCARE CONSULTING",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-12",
        "last_updated": "2021-04-07",
        "certification_date": "2021-04-07",
        "status": "A",
        "authorized_official_last_name": "KUCKO",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "704-360-2595",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NC",
            "license": "NC-6830",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "K2 Sports Therapy and Performance",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Mooresville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2021; 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.