Active NPI
Kathleen Klekamp Gunner, RPT
- Physical Therapist
- Raleigh, NC
National Provider Identifier
1801927504
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 3879
- Practice address
- 5241 Wildmarsh Dr
Raleigh, NC 27613-6571 - Phone
- (919) 345-3411
- Fax
- (919) 845-6224
- NPI assigned
- Mar 7, 2007
- Sex
- Female
- 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 | 3879 | NC | Primary |
Addresses
Primary practice location
5241 Wildmarsh Dr
Raleigh, NC 27613-6571
Mailing address
5241 Wildmarsh Dr
Raleigh, NC 27613-6571
Phone (919) 345-3411
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 067YT | Other | NC | BCBS |
| 7211954 | Medicaid | NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3879 | NC | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| A Child'S Way Therapy LLC. | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Pediatric Physical Therapist
- Raleigh, NC
- NPI 1033356886
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173225600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1801927504",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5241 WILDMARSH DR",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276136571",
"telephone_number": "919-345-3411",
"fax_number": "919-845-6224"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5241 WILDMARSH DR",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276136571",
"telephone_number": "919-345-3411",
"fax_number": "919-845-6224"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUNNER",
"first_name": "KATHLEEN",
"middle_name": "KLEKAMP",
"name_prefix": "Ms.",
"credential": "RPT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-07",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NC",
"license": "3879",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "067YT",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7211954",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Raleigh, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.