Krista Kvilvang
Individual provider Active NPI Physical Therapist · Belville, NC
NPI 1669027686 · NPPES record last updated Jun 26, 2023
Key facts
- NPI
- 1669027686
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- P20903 (NC)
- Practice address
- 497 Olde Waterford Way Ste 102
Belville, NC 28451-4183 - Phone
- (910) 444-1548
- NPI assigned
- Aug 6, 2019
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Nova Southeastern College of Osteo Medicine, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Zumbro and Connell Inc
Practice addresses (Care Compare)
5710 Oleander Dr
Suite 211
Wilmington, NC 28403-4722
Phone (910) 398-6301
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NC
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20211206000078 | NC | Practitioner - Physical Therapist in Private Practice | 5698005684 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P20903 | NC | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Zumbro and Connell, Inc | Physical Therapist | Current |
Accepting new patients |
| Northern Lights Physical Therapy, LLC | Physical Therapist | Past |
Accepting new patients |
Locations
497 Olde Waterford Way
Ste 102
Belville, NC 28451
Phone (910) 444-1548
5710 Oleander Dr
Ste 211
Wilmington, NC 28403
Phone (910) 398-6301
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | P20903 | NC | Yes |
| Physical Therapist | 225100000X | PTP-PT-LIC-17192 | MT |
Addresses
Primary practice location
497 Olde Waterford Way Ste 102
Belville, NC 28451-4183
Mailing address
1010 Nutt St Apt 1259
Wilmington, NC 28401-5392
Phone (843) 861-1309
Other providers in Belville, NC
- Coastal Inspirations PLLC
- Joseph Michael Curley
- Brynn Ellen Donnelly
- DRS Reimels and Boyd PLLC
- Joseph Curley DMD & Associates, PLLC
- Douglas B Morgan
- Vicki Muffley
- Elizabeth M Nabors
- Katherine Riley Shore
- Speech 4 Kidz, Inc
All providers in Belville, NC · Physical Therapist in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 26, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.