Kinston Physical Therapy & Spine, LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

8745 Issued in NC

Legal business name

KINSTON PHYSICAL THERAPY & SPINE, LLC

Practice address

704 Plaza Blvd
Ste. C103
Kinston, NC 28501-1557

Phone

(252) 208-0989

Fax

(252) 208-0905

NPI assigned

Feb 2, 2012

Last updated

Aug 23, 2012By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Karen Mae Stevens, PTNPI 1477598456

Title

Executive/Owner/Physical Therapist

Phone

(252) 208-0989

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Karen Mae Stevens, M.P.T.

  • Physical Therapist
  • Kinston, NC
  • NPI 1477598456
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1328140800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1345680000000",
    "number": "1740552090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "704 PLAZA BLVD",
            "address_2": "STE. C103",
            "city": "KINSTON",
            "state": "NC",
            "postal_code": "285011557",
            "telephone_number": "252-208-0989",
            "fax_number": "252-208-0905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "704 PLAZA BLVD",
            "address_2": "STE. C103",
            "city": "KINSTON",
            "state": "NC",
            "postal_code": "285011557",
            "telephone_number": "252-208-0989",
            "fax_number": "252-208-0905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINSTON PHYSICAL THERAPY & SPINE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-02",
        "last_updated": "2012-08-23",
        "status": "A",
        "authorized_official_last_name": "STEVENS",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "MAE",
        "authorized_official_title_or_position": "EXECUTIVE/OWNER/PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "252-208-0989",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "8745",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7200427",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kinston Neuroscience, Inc
• Kinston Obstetrical & Gynecological Associates PA
• Kinston Opco, LLC (Kinston Healthcare and Rehabilitation Center)
• Kinston Orthopaedic & Sports Medicine Center, P.a.
• Kinston Pediatric Associates PA
• Kinston Physicians Group, PLLC
• Kinston Podiatry Center
• Kinston Pulmonary Associates PA
• Kinston Radiological Assoc., PA
• Kinston Regional Pain Center LLC

• Physical Therapist in Kinston, NC
• Providers in Kinston, NC by specialty
• Physical Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.