Active NPI
Kelli L Powers, P.T.
- Physical Therapist
- Charlotte, NC
National Provider Identifier
1871789669
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 11191
- Practice address
- 5215 South Blvd
Ste a
Charlotte, NC 28217-2771 - Phone
- (704) 525-6288
- Fax
- (704) 525-6384
- NPI assigned
- Sep 14, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 | 11191 | NC | Primary |
Addresses
Primary practice location
5215 South Blvd
Ste a
Charlotte, NC 28217-2771
Mailing address
5215 South Blvd
Ste a
Charlotte, NC 28217-2771
Phone (704) 525-6288
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 |
|---|---|---|---|
| 11191 | NC | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1189728000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1193011200000",
"number": "1871789669",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5215 SOUTH BLVD",
"address_2": "STE A",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282172771",
"telephone_number": "704-525-6288",
"fax_number": "704-525-6384"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5215 SOUTH BLVD",
"address_2": "STE A",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282172771",
"telephone_number": "704-525-6288",
"fax_number": "704-525-6384"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POWERS",
"first_name": "KELLI",
"middle_name": "L",
"credential": "P.T.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-09-14",
"last_updated": "2007-10-22",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NC",
"license": "11191",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.