Courtney Kanetzke, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

P22471 Issued in NC

Practice address

260 Hospital Dr
Brevard, NC 28712-3378

Phone

(828) 884-9111

NPI assigned

Aug 28, 2023

Last updated

Aug 28, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Beaufort Orthopaedic Sports and Spine Center LLCGroup PAC ID 1355301771, 48 clinicians

Carolina Sportscare and Physical TherapyGroup PAC ID 0648184937, 11 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Beaufort Orthopaedic Sports and Spine Center LLC

  dba BOSS Orthopaedics

  • Orthopaedic Surgery Physician
  • Beaufort, SC
  • NPI 1982765160
  Medicare reassignment Care Compare group NPD
• Carolina Sportscare and Physical Therapy

  • Physical Therapist
  • Beaufort, SC
  • NPI 1659306785
  Medicare reassignment Care Compare group NPD
• Beaufort Orthopaedic Sports and Spine Center LLC

  • Orthopaedic Surgery Physician
  • Bluffton, SC
  • NPI 1497412019
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1693180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693180800000",
    "number": "1831974047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "252 ROCKBRIDGE RD",
            "city": "MILLS RIVER",
            "state": "NC",
            "postal_code": "287593515",
            "telephone_number": "828-674-6509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "260 HOSPITAL DR",
            "city": "BREVARD",
            "state": "NC",
            "postal_code": "287123378",
            "telephone_number": "828-884-9111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANETZKE",
        "first_name": "COURTNEY",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-28",
        "last_updated": "2023-08-28",
        "certification_date": "2023-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "P22471",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sven T. Jonsson, M.D.
• Joseph L Cowart DMD PA
• Joseph L. Cowart DMD, PA & James F. Ohlsson DDS, PA
• Salena G Justice, PSYD
• K. Jasinski, D.M.D., P.C. (Sylvan Valley Dental)
• Susan Mary Karr, RPH
• Barry Steven Katell, RPH
• Kim R Keifrider, PT
• Mary Kelley
• James Stephen Kelling, MD

• Physical Therapist in Brevard, NC
• Providers in Brevard, NC by specialty
• Physical Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2023; 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.

Verify at the official NPI Registry.