Individual provider Active NPI

Kevin Xie, DPT

  • Physical Therapist
  • Greenville, NC
National Provider Identifier
1851803050
Registry record updated May 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
P17486 Issued in NC
Practice address
504 Red Banks Rd Ste C
Greenville, NC 27858-5766
Phone
(252) 321-3579
NPI assigned
Oct 27, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 11, 2022

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 P17486 NC Primary

Addresses

Primary practice location

504 Red Banks Rd Ste C
Greenville, NC 27858-5766

Mailing address

504 Red Banks Rd Ste C
Greenville, NC 27858-5766

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211007002710 NC Practitioner - Physical Therapist in Private Practice 6608274451 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orthopaedics East and Sports Medicine Center IncGroup PAC ID 0749174019, 21 clinicians

Practice addresses (Care Compare)

810 WH Smith Blvd
Greenville, NC 27834-3763
Phone (252) 757-2663

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Orthopaedics East & Sports Medicine Center, Inc. CurrentSince Apr 15, 2024 Accepting new patients

Locations

810 Wh Smith Blvd
Greenville, NC 27834
Phone (252) 757-2663

Interoperability endpoints

  • Direct secure messaging: kevinxie@orthoeast.emadirect.md

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.

NPI Registry JSON

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

{
    "created_epoch": "1509062400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652227200000",
    "number": "1851803050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "504 RED BANKS RD STE C",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278585766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "504 RED BANKS RD STE C",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278585766",
            "telephone_number": "252-321-3579"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "XIE",
        "first_name": "KEVIN",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-10-27",
        "last_updated": "2022-05-11",
        "certification_date": "2021-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "P17486",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2022; 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.