Individual provider Active NPI

Katherine Mehry Tahamtan, DPT

  • Physical Therapist
  • Pinehurst, NC
National Provider Identifier
1679941124
Registry record updated Oct 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
P15914 Issued in NC
Practice address
5 First Village Dr
Pinehurst, NC 28374
Phone
(910) 235-2713
Fax
(910) 235-4663
NPI assigned
Sep 14, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2019

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 P15914 NC Primary

Addresses

Primary practice location

5 First Village Dr
Pinehurst, NC 28374

Mailing address

5 First Village Dr
Pinehurst, NC 28374-9495
Phone (910) 235-2713

Other practice location 1

21 Turtle Creek Dr
Asheville, NC 28803-3152
Phone (828) 274-2188

Other practice location 2

21 Turtle Creek Dr
Asheville, NC 28803-3152
Phone (828) 274-2188

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

NPI Registry JSON

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

{
    "created_epoch": "1442188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570579200000",
    "number": "1679941124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 FIRST VILLAGE DR",
            "city": "PINEHURST",
            "state": "NC",
            "postal_code": "283749495",
            "telephone_number": "910-235-2713",
            "fax_number": "910-235-4663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 FIRST VILLAGE DR",
            "city": "PINEHURST",
            "state": "NC",
            "postal_code": "28374",
            "telephone_number": "910-235-2713",
            "fax_number": "910-235-4663"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "21 Turtle Creek Dr",
            "address_purpose": "LOCATION",
            "city": "Asheville",
            "state": "NC",
            "postal_code": "288033152",
            "country_code": "US",
            "telephone_number": "828-274-2188",
            "fax_number": "828-274-7843",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "21 Turtle Creek Dr",
            "address_purpose": "LOCATION",
            "city": "Asheville",
            "state": "NC",
            "postal_code": "288033152",
            "country_code": "US",
            "telephone_number": "828-274-2188",
            "fax_number": "828-274-7843",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TAHAMTAN",
        "first_name": "KATHERINE",
        "middle_name": "MEHRY",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-14",
        "last_updated": "2019-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "P15914",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pinehurst, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 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.