Individual provider Active NPI

Kate Ivers, P.T.

  • Physical Therapist
  • Apex, NC
National Provider Identifier
1659476919
Registry record updated Oct 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
3549 Issued in NC
Practice address
1801 Olive Chapel Rd Ste 103
Apex, NC 27502-8587
Phone
(919) 373-5353
Fax
(919) 355-0683
NPI assigned
Sep 13, 2006
Last updated
Oct 21, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 3549 NC Primary

Addresses

Primary practice location

1801 Olive Chapel Rd Ste 103
Apex, NC 27502-8587

Mailing address

350 New Fidelity CT
Garner, NC 27529-2665
Phone (192) 582-7149

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170314001897 NC Practitioner - Physical Therapist in Private Practice 3870878838 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Select Physical Therapy Holdings IncGroup PAC ID 9537076401, 1,992 clinicians

Practice addresses (Care Compare)

10020 Edison Square Dr NW
Suite C 105
Concord, NC 28027-8695
Phone (704) 948-5351

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3549NCMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Proactive Therapy of North Carolina Inc CurrentSince Oct 1, 2024 Accepting new patients
Select Physical Therapy Holdings Inc CurrentSince Jan 31, 2017 Accepting new patients
Activcare Physical Therapy, LLC Physical Therapist CurrentSince Oct 21, 2020 Accepting new patients
Proactive Therapy of North Carolina Inc Current Accepting new patients
Select Physical Therapy Holdings Inc CurrentSince Jan 31, 2017 Accepting new patients
Proactive Therapy of North Carolina Inc CurrentSince Oct 1, 2024 Accepting new patients

Locations

1801 Olive Chapel Rd
Ste 103
Apex, NC 27502
Phone (919) 373-5353

166 Springbrook Ave
Ste 201
Clayton, NC 27520
Phone (919) 535-8461

10020 Edison Square Dr NW
Ste C105
Concord, NC 28027
Phone (704) 948-5351

350 New Fidelity Ct
Garner, NC 27529
Phone (919) 373-2919

3410 Executive Dr
Ste 205
Raleigh, NC 27609
Phone (919) 322-0042

4109 Wake Forest Rd
Ste 200
Raleigh, NC 27609
Phone (919) 322-0042

2358 US Highway 70
Ste Ab
Swannanoa, NC 28778
Phone (828) 686-3375

1259 Highland Dr
Washington, NC 27889
Phone (252) 243-0072

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1158105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603238400000",
    "number": "1659476919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 NEW FIDELITY CT",
            "city": "GARNER",
            "state": "NC",
            "postal_code": "275292665",
            "telephone_number": "192-582-7149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 OLIVE CHAPEL RD STE 103",
            "city": "APEX",
            "state": "NC",
            "postal_code": "275028587",
            "telephone_number": "919-373-5353",
            "fax_number": "919-355-0683"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IVERS",
        "first_name": "KATE",
        "name_prefix": "Ms.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-13",
        "last_updated": "2020-10-21",
        "certification_date": "2020-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "3549",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Apex, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2020; 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.