Active NPI
Kelly Anne Senglar-Vitale, PT, DPT, COMT, MDT
- Physical Therapist
- Wilson, NC
National Provider Identifier
1891757548
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- P10390
- 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
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 | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P10390 | Other | NC | PT LICENSE |
| 10390 | Other | NC | PT LICENSE |
Other names 1
- Dr. Kelly Anne Senglar
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
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
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 100
- Quality
- 80
- Improvement activities
- 40
- Cost
- 75.43
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P10390 | NC | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Manual Physical Therapy, Inc | Current | 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.
-
- Physical Therapy Clinic/Center
- Wilson, NC
- NPI 1164860169
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.