Active NPI
Mark C Kammer, P.T.
- Physical Therapist
- Lenoir, NC
National Provider Identifier
1821238155
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 6713
- Practice address
- 1041 Morganton Blvd, Ste 200
Lenoir, NC 28645 - Phone
- (828) 758-7565
- NPI assigned
- Feb 26, 2009
- Last updated
- Feb 26, 2009
- Sex
- Male
- Sole proprietor
- No
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 | 6713 | NC | Primary |
Addresses
Primary practice location
1041 Morganton Blvd, Ste 200
Lenoir, NC 28645
Mailing address
2165 Medical Park Drive
Hickory, NC 28602-8809
Phone (828) 324-2800
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6713 | Other | NC | PT |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6713 | NC | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1235606400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1235606400000",
"number": "1821238155",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2165 MEDICAL PARK DRIVE",
"city": "HICKORY",
"state": "NC",
"postal_code": "286028809",
"telephone_number": "828-324-2800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1041 MORGANTON BLVD, STE 200",
"city": "LENOIR",
"state": "NC",
"postal_code": "28645",
"telephone_number": "828-758-7565"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KAMMER",
"first_name": "MARK",
"middle_name": "C",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-02-26",
"last_updated": "2009-02-26",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NC",
"license": "6713",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PT",
"identifier": "6713",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lenoir, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.