Active NPI
Kristina Lynn Wolfe, PT
- Physical Therapist
- Apex, NC
National Provider Identifier
1689947533
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 10409
- Practice address
- 10000 Cambridge Village Loop
Apex, NC 27502-7707 - Phone
- (919) 350-1508
- Fax
- (919) 350-1475
- NPI assigned
- Feb 22, 2012
- Last updated
- Mar 17, 2018
- 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 | 10409 | NC | Primary |
Addresses
Primary practice location
10000 Cambridge Village Loop
Apex, NC 27502-7707
Mailing address
1151 S Main St
Wake Forest, NC 27587-9646
Phone (919) 556-1336
Other practice location 1
1151 S Main St
Apt. 303
Wake Forest, NC 27587-9646
Phone (919) 556-1336
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 |
|---|---|---|---|
| 10409 | NC | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Legacy Healthcare Services Inc | Physical Therapist | Past | Accepting new patients |
| Legacy Healthcare Services Inc | Physical Therapist | Past | Accepting new patients |
| Wake Specialty Physicians, LLC | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Physical Therapist
- Cary, NC
- NPI 1225879489
-
- Physical Therapist
- Wake Forest, NC
- NPI 1265198907
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1329868800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1689947533",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1151 S MAIN ST",
"city": "WAKE FOREST",
"state": "NC",
"postal_code": "275879646",
"telephone_number": "919-556-1336",
"fax_number": "919-556-3118"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10000 CAMBRIDGE VILLAGE LOOP",
"city": "APEX",
"state": "NC",
"postal_code": "275027707",
"telephone_number": "919-350-1508",
"fax_number": "919-350-1475"
}
],
"practiceLocations": [
{
"address_1": "1151 S Main St",
"address_2": "Apt. 303",
"address_purpose": "LOCATION",
"city": "Wake Forest",
"state": "NC",
"postal_code": "275879646",
"country_code": "US",
"telephone_number": "919-556-1336",
"fax_number": "919-556-3118",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WOLFE",
"first_name": "KRISTINA",
"middle_name": "LYNN",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-02-22",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NC",
"license": "10409",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Apex, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.