Individual provider Active NPI

Katherine Dill Carpentieri, LPTA

  • Physical Therapy Assistant
  • Rocky Mount, VA
National Provider Identifier
1659910461
Registry record updated Dec 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
2306000656 Issued in VA
Practice address
300 Hatcher St
Rocky Mount, VA 24151-1256
Phone
(540) 483-9261
Fax
(540) 483-0589
NPI assigned
Dec 26, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 26, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 2306000656 VA Primary

Addresses

Primary practice location

300 Hatcher St
Rocky Mount, VA 24151-1256

Mailing address

300 Hatcher St
Rocky Mount, VA 24151-1256
Phone (540) 483-9261

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address victoria.moore@saberhealth.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
2306000656VAMDPhysical Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1577318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1577318400000",
    "number": "1659910461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 HATCHER ST",
            "city": "ROCKY MOUNT",
            "state": "VA",
            "postal_code": "241511256",
            "telephone_number": "540-483-9261",
            "fax_number": "540-483-0589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 HATCHER ST",
            "city": "ROCKY MOUNT",
            "state": "VA",
            "postal_code": "241511256",
            "telephone_number": "540-483-9261",
            "fax_number": "540-483-0589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARPENTIERI",
        "first_name": "KATHERINE",
        "middle_name": "DILL",
        "credential": "LPTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-26",
        "last_updated": "2019-12-26",
        "certification_date": "2019-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "VA",
            "license": "2306000656",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "victoria.moore@saberhealth.com",
            "affiliation": "N",
            "address_1": "300 Hatcher St",
            "city": "Rocky Mount",
            "state": "VA",
            "country_code": "US",
            "postal_code": "241511256",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Rocky Mount, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2019; 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.