Individual provider Active NPI

Kana Pair

  • Physical Therapist
  • Pike Road, AL
National Provider Identifier
1770989774
Registry record updated Jun 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
7394 Issued in AL
Practice address
11123 Chantilly Pkwy CT Unit D
Pike Road, AL 36064-2881
Phone
(334) 746-5522
Fax
(334) 239-4478
NPI assigned
Nov 18, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2024

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 7394 AL Primary

Addresses

Primary practice location

11123 Chantilly Pkwy CT Unit D
Pike Road, AL 36064-2881

Mailing address

11123 Chantilly Pkwy CT Unit D
Pike Road, AL 36064-2881
Phone (334) 746-5522

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150409002075 AL Practitioner - Physical Therapist in Private Practice 8527386275 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Elite Rehab IncGroup PAC ID 9436476066, 12 clinicians

Practice addresses (Care Compare)

1636 Mulberry St
Montgomery, AL 36106-1522
Phone (334) 265-3199

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7394ALMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Elite Rehab Inc Physical Therapist CurrentSince Sep 1, 2023 Accepting new patients
Elite Rehab Inc Physical Therapist CurrentSince Sep 1, 2023 Accepting new patients
Harmony Rehab Solutions Inc Physical Therapist CurrentSince Feb 12, 2024 Accepting new patients

Locations

6942 Winton Blount Blvd
Montgomery, AL 36117
Phone (334) 277-1234

1636 Mulberry St
Montgomery, AL 36106
Phone (334) 265-3199

11123 Chantilly Pkwy Ct
Unit D
Pike Road, AL 36064
Phone (334) 746-5522

935 Highway 431
Ste 1
Roanoke, AL 36274
Phone (334) 799-5853

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1416268800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717372800000",
    "number": "1770989774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11123 CHANTILLY PKWY CT UNIT D",
            "city": "PIKE ROAD",
            "state": "AL",
            "postal_code": "360642881",
            "telephone_number": "334-746-5522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11123 CHANTILLY PKWY CT UNIT D",
            "city": "PIKE ROAD",
            "state": "AL",
            "postal_code": "360642881",
            "telephone_number": "334-746-5522",
            "fax_number": "334-239-4478"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAIR",
        "first_name": "KANA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-11-18",
        "last_updated": "2024-06-03",
        "certification_date": "2024-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AL",
            "license": "7394",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pike Road, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2024; 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.