Heather J Kelim, D.P.T.
Individual provider Active NPI Physical Therapist · Wilmington, NC
NPI 1790799609 · NPPES record last updated Jan 2, 2024
Key facts
- NPI
- 1790799609
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- P15907 (NC)
- Practice address
- 6419 Carolina Beach Rd
Wilmington, NC 28412-3671 - Phone
- (910) 332-3828
- Fax
- (910) 251-0421
- NPI assigned
- Jul 28, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare Care Compare profile
Merit-based Incentive Payment System (MIPS)
- Final score
- 89.07 of 100
- Quality
- 85.94
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 77.63
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NC
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240422002905 | NC | Practitioner - Physical Therapist in Private Practice | 6305866625 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 027497 | NY | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emergeortho PA | Physical Therapist | Current |
Accepting new patients |
| Emergeortho PA | Current |
Accepting new patients | |
| Bellmore Physical Therapy PC | Physical Therapist | Past | Accepting new patients |
Locations
120 William Penn Plz
Durham, NC 27704
Phone (919) 281-1836
3787 Shipyard Blvd
Wilmington, NC 28403
Phone (910) 341-2444
6419 Carolina Beach Rd
Wilmington, NC 28412
Phone (910) 332-3828
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | P15907 | NC | Yes |
Addresses
Primary practice location
6419 Carolina Beach Rd
Wilmington, NC 28412-3671
Mailing address
PO Box 5105
Belfast, ME 04915-5100
Phone (919) 220-5255
Other providers in Wilmington, NC
- Angela Keith
- Harrison Leonidas Keith III
- Jamiah Keith
- Tyler Joseph Keith
- Kelli Renee Kelderhouse
- Lisa Kellams
- Michael B Kelleher
- Christina Marie Kelleigh
- Eric James Keller
- James Michael Keller
All providers in Wilmington, 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 Jan 2, 2024. 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.