Active NPI
Katherine Anne Creech, PT
- Physical Therapy Clinic/Center
- High Point, NC
National Provider Identifier
1679010003
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- License
- 10087
- Practice address
- 3656 Shadow Ridge Dr
High Point, NC 27265-8403 - Phone
- (336) 760-3634
- NPI assigned
- Jan 24, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Clinic/Center | 261QP2000X | 10087 | NC | Primary |
Addresses
Primary practice location
3656 Shadow Ridge Dr
High Point, NC 27265-8403
Mailing address
3656 Shadow Ridge Dr
High Point, NC 27265-8403
Phone (336) 760-3634
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10087 | NC | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bayada Home Health Care, Inc. | Physical Therapy | Past | Accepting new patients |
Organizations & group practices 1
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": "1485216000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1485216000000",
"number": "1679010003",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3656 SHADOW RIDGE DR",
"city": "HIGH POINT",
"state": "NC",
"postal_code": "272658403",
"telephone_number": "336-760-3634"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3656 SHADOW RIDGE DR",
"city": "HIGH POINT",
"state": "NC",
"postal_code": "272658403",
"telephone_number": "336-760-3634"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CREECH",
"first_name": "KATHERINE",
"middle_name": "ANNE",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-01-24",
"last_updated": "2017-01-24",
"status": "A"
},
"taxonomies": [
{
"code": "261QP2000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Physical Therapy",
"state": "NC",
"license": "10087",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in High Point, NC
- Michelle Craighead, LPN
- Cranbrook Primary Care, PLLC
- Caroline Harrison Craven
- Robert C Crawford, M.D.
- Martha Berenice Creary
- Brittany Ann Crisco, OTR/L
- Jacy Killian Crocker, RN
- Jazmin Arielle Cromartie-Hicks, DMD
- Sophia Cross
- Crossroads Treatment Centers of North Carolina, P.C. (Crossroads Treatment Centers High Point)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.