Individual provider Active NPI

Kaleb Hill, DPT, ATC, CSCS

  • Physical Therapist
  • Yadkinville, NC
National Provider Identifier
1700343712
Registry record updated Feb 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
18553 Issued in NC
Practice address
102 Woodlyn Dr
Yadkinville, NC 27055-6673
Phone
(336) 677-1800
Fax
(336) 677-1802
NPI assigned
Feb 26, 2019
Last updated
Feb 5, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 5, 2026

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 18553 NC Primary

Addresses

Primary practice location

102 Woodlyn Dr
Yadkinville, NC 27055-6673

Mailing address

102 Woodlyn Dr
Yadkinville, NC 27055-6673

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200116001464 NC Practitioner - Physical Therapist in Private Practice 7719312925 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Yadkin Physical Therapy LLCGroup PAC ID 1557364858, 3 clinicians

Practice addresses (Care Compare)

102 Woodlyn Dr
Yadkinville, NC 27055-6673
Phone (336) 677-1800

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
18553NCMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Yadkin Physical Therapy, L.L.C. Physical Therapist CurrentSince Dec 10, 2019 Accepting new patients

Locations

102 Woodlyn Dr
Yadkinville, NC 27055
Phone (336) 677-1800

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": "1551139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770249600000",
    "number": "1700343712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 WOODLYN DR",
            "city": "YADKINVILLE",
            "state": "NC",
            "postal_code": "270556673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 WOODLYN DR",
            "city": "YADKINVILLE",
            "state": "NC",
            "postal_code": "270556673",
            "telephone_number": "336-677-1800",
            "fax_number": "336-677-1802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HILL",
        "first_name": "KALEB",
        "credential": "DPT, ATC, CSCS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-02-26",
        "last_updated": "2026-02-05",
        "certification_date": "2026-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "18553",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yadkinville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.