Active NPI
Kayla Jeanette Hunsucker, MPT
- Physical Therapist
- Winston Salem, NC
National Provider Identifier
1689918757
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 14003
- Practice address
- 1315 S Hawthorne Rd
Winston Salem, NC 27103-4121 - Phone
- (336) 917-6000
- NPI assigned
- Nov 15, 2012
- Last updated
- Mar 25, 2014
- Sex
- Female
- Sole proprietor
- No
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 Therapist | 225100000X | 14003 | NC | Primary |
Addresses
Primary practice location
1315 S Hawthorne Rd
Winston Salem, NC 27103-4121
Mailing address
1607 Lancelot LN
Winston Salem, NC 27103-5107
Phone (828) 244-1293
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 |
|---|---|---|---|
| 14003 | NC | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1352937600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1395705600000",
"number": "1689918757",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1607 LANCELOT LN",
"city": "WINSTON SALEM",
"state": "NC",
"postal_code": "271035107",
"telephone_number": "828-244-1293"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1315 S HAWTHORNE RD",
"city": "WINSTON SALEM",
"state": "NC",
"postal_code": "271034121",
"telephone_number": "336-917-6000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUNSUCKER",
"first_name": "KAYLA",
"middle_name": "JEANETTE",
"credential": "MPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-11-15",
"last_updated": "2014-03-25",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NC",
"license": "14003",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Winston Salem, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.