Individual provider Active NPI

Caroline Keeler, P.T.

  • Physical Therapist
  • Arden, NC
National Provider Identifier
1881040640
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
P13716 Issued in NC
Practice address
600 Julian LN Ste 660
Arden, NC 28704-7815
Phone
(828) 684-3611
Fax
(828) 684-3612
NPI assigned
May 11, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 40QA01658700 NJ
Physical Therapist 225100000X P13716 NC Primary

Addresses

Primary practice location

600 Julian LN Ste 660
Arden, NC 28704-7815

Mailing address

600 Julian LN Ste 660
Arden, NC 28704-7815
Phone (828) 684-3611

Other practice location 1

118 Hawthorne Dr
Wilmington, NC 28403-5803
Phone (810) 441-4566

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

LicenseStateTypeSpecialty
40QA01658700NJMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Cypress Chiropractic, PA CurrentSince Jan 24, 2018 Accepting new patients

Locations

814 N Howe St
Southport, NC 28461
Phone (910) 269-9110

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.

NPI Registry JSON

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

{
    "created_epoch": "1462924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1881040640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 JULIAN LN STE 660",
            "city": "ARDEN",
            "state": "NC",
            "postal_code": "287047815",
            "telephone_number": "828-684-3611",
            "fax_number": "828-684-3612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 JULIAN LN STE 660",
            "city": "ARDEN",
            "state": "NC",
            "postal_code": "287047815",
            "telephone_number": "828-684-3611",
            "fax_number": "828-684-3612"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "118 Hawthorne Dr",
            "address_purpose": "LOCATION",
            "city": "Wilmington",
            "state": "NC",
            "postal_code": "284035803",
            "country_code": "US",
            "telephone_number": "810-441-4566",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KEELER",
        "first_name": "CAROLINE",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-11",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01658700",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "P13716",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arden, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.