Individual provider Active NPI

Patti Kilpatrick, PT

  • Physical Therapist
  • Goldsboro, NC
National Provider Identifier
1700851706
Registry record updated Nov 2, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2447 Issued in NC
Practice address
610 N Jefferson St
Goldsboro, NC 27530-4070
Phone
(919) 735-9292
Fax
(919) 735-9292
NPI assigned
Feb 22, 2006
Last updated
Nov 2, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2007

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 2447 NC Primary

Addresses

Primary practice location

610 N Jefferson St
Goldsboro, NC 27530-4070

Mailing address

522 Ebenezer Church Rd
Goldsboro, NC 27530-9463
Phone (919) 735-9292

Other identifiers 2

IdentifierTypeStateIssuer
0775TOtherNCBCBS PT
88673OtherNCMEDCOST PT

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070723000593 NC Practitioner - Physical Therapist in Private Practice 6103927041 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

610 N Jefferson St
Goldsboro, NC 27530-4070
Phone (919) 732-9292

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2447NCMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Kilpatrick Physical Therapy, Inc. CurrentSince Aug 2, 2006 Accepting new patients

Locations

610 N Jefferson Ave
Goldsboro, NC 27530
Phone (919) 732-9292

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": "1140566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193961600000",
    "number": "1700851706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "522 EBENEZER CHURCH RD",
            "city": "GOLDSBORO",
            "state": "NC",
            "postal_code": "275309463",
            "telephone_number": "919-735-9292",
            "fax_number": "919-735-9292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 N JEFFERSON ST",
            "city": "GOLDSBORO",
            "state": "NC",
            "postal_code": "275304070",
            "telephone_number": "919-735-9292",
            "fax_number": "919-735-9292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KILPATRICK",
        "first_name": "PATTI",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-22",
        "last_updated": "2007-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "2447",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PT",
            "identifier": "0775T",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDCOST PT",
            "identifier": "88673",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Goldsboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2007; 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.