Active NPI
Kevin Kucko, PT
- Physical Therapist
- Mooresville, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 6830
- Practice address
- 134 Medical Park Rd Ste 105
Mooresville, NC 28117-8527 - Phone
- (704) 806-9826
- NPI assigned
- Sep 27, 2009
- Last updated
- Sep 27, 2009
- Sex
- Male
- Sole proprietor
- Yes
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 | 6830 | NC | Primary |
Addresses
Primary practice location
134 Medical Park Rd Ste 105
Mooresville, NC 28117-8527
Mailing address
20221 Hammock Oak Dr
Cornelius, NC 28031-6813
Phone (704) 806-9826
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, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
508 Williamson Rd
Suite 200
Mooresville, NC 28117-9186
Phone (704) 360-2595
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| K-2 Healthcare Consulting | Current | Accepting new patients |
Locations
508 Williamson Rd
Ste 200
Mooresville, NC 28117
Phone (704) 360-2595
514 Williamson Rd
Ste 431
Mooresville, NC 28117
Phone (704) 360-2595
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Physical Therapy Clinic/Center
- Mooresville, NC
- NPI 1649568676
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1254009600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1254009600000",
"number": "1801120639",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20221 HAMMOCK OAK DR",
"city": "CORNELIUS",
"state": "NC",
"postal_code": "280316813",
"telephone_number": "704-806-9826"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "134 MEDICAL PARK RD STE 105",
"city": "MOORESVILLE",
"state": "NC",
"postal_code": "281178527",
"telephone_number": "704-806-9826"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KUCKO",
"first_name": "KEVIN",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-09-27",
"last_updated": "2009-09-27",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NC",
"license": "6830",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mooresville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2009; 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.