Kathleen Coyle, PT
Individual provider Active NPI Physical Therapist · Cornelius, NC
NPI 1780201665 · NPPES record last updated Aug 11, 2025
Key facts
- NPI
- 1780201665
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- P8730 (NC)
- Practice address
- 11623 Truan LN
Cornelius, NC 28031-9040 - Phone
- (704) 506-3285
- NPI assigned
- Jun 26, 2020
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 3
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- George Washington University School of Medicine, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Black Mountain Physical Therapy LLC
Practice addresses (Care Compare)
10610 Metromont Pkwy
Suite 108
Charlotte, NC 28269-7685
Phone (980) 938-0693
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NC
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240311000720 | NC | Practitioner - Physical Therapist in Private Practice | 5294171468 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P8730 | NC | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fox Rehab PT NC LLC | Single Specialty | Current |
Accepting new patients |
| Phoenix Rehabilitation and Health Services of North Carolina, LLC | Single Specialty | Past |
Accepting new patients |
Locations
2008 Moore Rd
Matthews, NC 28105
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist |
225100000X | P8730 | NC | Yes |
Addresses
Primary practice location
11623 Truan LN
Cornelius, NC 28031-9040
Mailing address
11623 Truan LN
Cornelius, NC 28031-9040
Phone (704) 506-3285
Other practice location 1
539 E Plaza Dr
Mooresville, NC 28115-8011
Phone (518) 965-4915
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://www.cms.gov/research-statistics-data-systems/electronic-submission-medical-documentation-esmd/cms-health-information-handler | Other | Fox Rehab PT NC LLC |
| CONNECT URL | https://199.119.81.30:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRResponse_Service | Other | eSolutions Inc |
Other providers in Cornelius, NC
- Counseling Associates at the Lake, Inc.
- Counseling Center
- Counseling Service at Lake Norman, PLLC
- Melissa Covert
- Rebecca Elizabeth Cowan
- Elizabeth Catherine Crage
- Haley Celeste Craig-Kovach
- Cre Group Inc
- Noah Oliver Crees
- Lauren Bennett Cress
All providers in Cornelius, 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 Aug 11, 2025. 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.