Active NPI
Katie L Kepner, P.T.
- Physical Therapist
- Garner, NC
National Provider Identifier
1831139252
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 10389
- Practice address
- 109 Forest Hills Dr
Suite 10
Garner, NC 27529-3690 - Phone
- (919) 781-4060
- Fax
- (919) 863-6990
- NPI assigned
- Jun 7, 2006
- Sex
- Female
- 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 | 10389 | NC | Primary |
Addresses
Primary practice location
109 Forest Hills Dr
Suite 10
Garner, NC 27529-3690
Mailing address
3515 Glenwood Ave
Raleigh, NC 27612-4934
Phone (919) 781-4060
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 067WX | Other | NC | BLUE CROSS BLUE SHIELD OF |
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 |
|---|---|---|---|
| 10389 | NC | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Raleigh Orthopaedic Clinic PA | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Durable Medical Equipment & Medical Supplies
- Garner, NC
- NPI 1700993565
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149638400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1239667200000",
"number": "1831139252",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3515 GLENWOOD AVE",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276124934",
"telephone_number": "919-781-4060",
"fax_number": "919-781-5246"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "109 FOREST HILLS DR",
"address_2": "SUITE 10",
"city": "GARNER",
"state": "NC",
"postal_code": "275293690",
"telephone_number": "919-781-4060",
"fax_number": "919-863-6990"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KEPNER",
"first_name": "KATIE",
"middle_name": "L",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-07",
"last_updated": "2009-04-14",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NC",
"license": "10389",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD OF",
"identifier": "067WX",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Garner, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 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.