Individual provider Active NPI

Kelly Anne Senglar-Vitale, PT, DPT, COMT, MDT

  • Physical Therapist
  • Wilson, NC
National Provider Identifier
1891757548
Registry record updated Feb 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
P10390 Issued in NC
Practice address
3200 Nash St N
Wilson, NC 27896-1231
Phone
(252) 243-6784
Fax
(252) 243-6782
NPI assigned
Apr 6, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 6, 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 P10390 NC Primary

Addresses

Primary practice location

3200 Nash St N
Wilson, NC 27896-1231

Mailing address

3200 Nash St N
Wilson, NC 27896-1231
Phone (252) 243-6784

Other identifiers 2

IdentifierTypeStateIssuer
P10390OtherNCPT LICENSE
10390OtherNCPT LICENSE

Other names 1

  • Dr. Kelly Anne Senglar Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20131211001043 NC Practitioner - Physical Therapist in Private Practice 2567405202 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Manual Physical Therapy IncGroup PAC ID 4385879592, 2 clinicians

Practice addresses (Care Compare)

3200 Nash N St
Wilson, NC 27896-1231
Phone (252) 243-6784

Merit-based Incentive Payment System (MIPS)

Final score
84.63 of 100Reported as group
Quality
80
Improvement activities
40
Cost
75.43

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
P10390NCMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Manual Physical Therapy, Inc CurrentSince Jun 13, 2013 Accepting new patients

Locations

147 N Winstead Ave
Rocky Mount, NC 27804
Phone (252) 937-6784

3200 Nash St N
Wilson, NC 27896
Phone (252) 243-6784

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": "1144281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738800000000",
    "number": "1891757548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3200 NASH ST N",
            "city": "WILSON",
            "state": "NC",
            "postal_code": "278961231",
            "telephone_number": "252-243-6784",
            "fax_number": "252-243-6782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 NASH ST N",
            "city": "WILSON",
            "state": "NC",
            "postal_code": "278961231",
            "telephone_number": "252-243-6784",
            "fax_number": "252-243-6782"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SENGLAR-VITALE",
        "first_name": "KELLY",
        "middle_name": "ANNE",
        "name_prefix": "Dr.",
        "credential": "PT, DPT, COMT,  MDT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-06",
        "last_updated": "2025-02-06",
        "certification_date": "2025-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "P10390",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PT LICENSE",
            "identifier": "P10390",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PT LICENSE",
            "identifier": "10390",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELLY",
            "last_name": "SENGLAR",
            "middle_name": "ANNE",
            "prefix": "DR.",
            "credential": "PT, DPT, COMT, MDT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Wilson, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 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.