Active NPI
Kristine Danielle Cleveland
- Physical Therapist
- Smithfield, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- P19991
- Practice address
- 1317-A N. Brightleaf Blvd.
Smithfield, NC 27577-7267 - Phone
- (919) 300-5040
- NPI assigned
- Nov 11, 2020
- 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 | P19991 | NC | Primary |
Addresses
Primary practice location
1317-A N. Brightleaf Blvd.
Smithfield, NC 27577-7267
Mailing address
350 New Fidelity CT
Garner, NC 27529-2665
Phone (919) 258-2714
Other names 1
- Kristine Danielle Christiansen
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1417 S Pollock St
Selma, NC 27576-3405
Phone (919) 300-5040
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.67 of 100
- Quality
- 85.21
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 77.85
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Paragon Outpatient Rehabilitation Services, LLC | Current | Accepting new patients | |
| Activcare Physical Therapy, LLC | Physical Therapist | Current | Accepting new patients |
| Paragon Outpatient Rehabilitation Services, LLC | Physical Therapist | Current | Accepting new patients |
| Proptnc,LLC | Physical Therapist | Current | Accepting new patients |
Locations
166 Springbrook Ave
Ste 201
Clayton, NC 27520
Phone (919) 535-8461
1165 E Cumberland St
Ste 126
Dunn, NC 28334
Phone (910) 241-4085
350 New Fidelity Ct
Garner, NC 27529
Phone (919) 373-2919
3410 Executive Dr
Ste 205
Raleigh, NC 27609
Phone (919) 322-0042
2605 Swallow Rd
Rm 201
Reidsville, NC 27320
Phone (704) 251-2602
1417 S Pollock St
Selma, NC 27576
Phone (919) 300-5040
112 Walmart Supercenter
Siler City, NC 27344
Phone (919) 799-2216
1317 N Brightleaf Blvd
Ste A
Smithfield, NC 27577
Phone (516) 220-5410
Interoperability endpoints
- kristine.cleveland.p12@direct.athleticoltd.nextgenshare.com
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
dba Pivot Physical Therapy of Carolina
- Clinic/Center
- Raleigh, NC
- NPI 1548409626
Physical Therapist
-
dba Synchrony Rehabilitation
- Rehabilitation Clinic/Center
- Louisville, KY
- NPI 1871867325
NC, Physical Therapist
-
dba Synchrony Rehab
- Rehabilitation Clinic/Center
- Roxboro, NC
- NPI 1245014380
-
dba Resolve Physical Therapy and Rehabilitation
- Physical Therapist
- Siler City, NC
- NPI 1093013351
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1605052800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1695081600000",
"number": "1770185092",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "350 NEW FIDELITY CT",
"city": "GARNER",
"state": "NC",
"postal_code": "275292665",
"telephone_number": "919-258-2714"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1317-A N. BRIGHTLEAF BLVD.",
"city": "SMITHFIELD",
"state": "NC",
"postal_code": "275777267",
"telephone_number": "919-300-5040"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLEVELAND",
"first_name": "KRISTINE",
"middle_name": "DANIELLE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-11-11",
"last_updated": "2023-09-19",
"certification_date": "2023-09-19",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NC",
"license": "P19991",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KRISTINE",
"last_name": "CHRISTIANSEN",
"middle_name": "DANIELLE",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Smithfield, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2023; 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.