Individual provider Active NPI

Kendall Elaine Thomas, PT, DPT

  • Physical Therapist
  • Leland, NC
National Provider Identifier
1841927076
Registry record updated Nov 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
P21478 Issued in NC
Practice address
497 Olde Waterford Way
Suite 102
Leland, NC 28451
Phone
(910) 444-1548
NPI assigned
Aug 8, 2022
Last updated
Nov 30, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X P21478 NC Primary

Addresses

Primary practice location

497 Olde Waterford Way
Suite 102
Leland, NC 28451

Mailing address

497 Olde Waterford Way
Suite 102
Leland, NC 28451
Phone (910) 444-1548

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220930000098 NC Practitioner - Physical Therapist in Private Practice 1456737386 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Youngs Physical Therapy and Sports Rehab, IncGroup PAC ID 6507012101, 17 clinicians
Zumbro and Connell IncGroup PAC ID 5698852499, 39 clinicians

Practice addresses (Care Compare)

1301 E Arlington Blvd
Greenville, NC 27858-5868
Phone (252) 916-2352

497 Olde Waterford Way
Suite 102
Belville, NC 28451-4183
Phone (910) 444-1548

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
P21478NCMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Youngs Physical Therapy & Sports Rehab, Inc. CurrentSince Aug 1, 2022 Accepting new patients
Zumbro and Connell, Inc Physical Therapist CurrentSince Nov 28, 2025 Accepting new patients

Locations

497 Olde Waterford Way
Ste 102
Belville, NC 28451
Phone (910) 444-1548

1301 E Arlington Blvd
Greenville, NC 27858
Phone (252) 565-8812

4219 Arendell St
Ste C
Morehead City, NC 28557
Phone (252) 565-8814

5710 Oleander Dr
Ste 211
Wilmington, NC 28403
Phone (910) 398-6301

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1659916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764460800000",
    "number": "1841927076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "497 OLDE WATERFORD WAY",
            "address_2": "SUITE 102",
            "city": "LELAND",
            "state": "NC",
            "postal_code": "28451",
            "telephone_number": "910-444-1548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "497 OLDE WATERFORD WAY",
            "address_2": "SUITE 102",
            "city": "LELAND",
            "state": "NC",
            "postal_code": "28451",
            "telephone_number": "910-444-1548"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "KENDALL",
        "middle_name": "ELAINE",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-08",
        "last_updated": "2025-11-30",
        "certification_date": "2025-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "P21478",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Leland, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2025; 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.