Kaitlyn Leeann Carpenter, PT, DPT
Individual provider Active NPI Physical Therapist · Carolina Beach, NC
NPI 1700543154 · NPPES record last updated Jan 15, 2023
Key facts
- NPI
- 1700543154
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- P20891 (NC)
- Practice address
- 1300 Bridge Barrier Rd Ste 3
Carolina Beach, NC 28428-3939 - Phone
- (910) 636-3574
- NPI assigned
- Nov 19, 2021
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Carolina Beach Physical Therapy
Practice addresses (Care Compare)
1300 Bridge Barrier Rd
Suite 3
Carolina Beach, NC 28428-3939
Phone (910) 636-3574
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NC
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20211214000307 | NC | Practitioner - Physical Therapist in Private Practice | 6608266226 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P20891 | NC | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carolina Beach Physical Therapy | Physical Therapist | Current |
Accepting new patients |
Locations
1300 Bridge Barrier Rd
Ste 3
Carolina Beach, NC 28428
Phone (910) 458-8884
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | P20891 | NC | Yes |
Addresses
Primary practice location
1300 Bridge Barrier Rd Ste 3
Carolina Beach, NC 28428-3939
Mailing address
1300 Bridge Barrier Rd Ste 3
Carolina Beach, NC 28428-3939
Phone (910) 636-3574
Other names
- Kaitlyn Leeann Henley
Other providers in Carolina Beach, NC
- Paula Conaway Bruner
- Robert A Bucciere
- John B Callahan
- Carolina Beach Counseling, LLC
- Carolina Beach Physical Therapy
- Allison Carte
- Amanda Dixon Cerqueira
- Roberta Clark
- Coastal Mental Health Service Providers
- Corey Andolfi, Ma, LMFT, Nbcch, PLLC
All providers in Carolina Beach, NC · Physical Therapist in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 15, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.