Shannon Nykol Kitchen, MPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

11984 Issued in NC

Practice address

103 Gossman Rd
Southern Pines, NC 28387-2225

Phone

(910) 692-7293

Fax

(910) 692-7293

NPI assigned

Dec 24, 2007

Last updated

Sep 19, 2013By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Bolivar-Harpers Ferry Physical Therapy

  • Physical Therapy Clinic/Center
  • Harpers Ferry, WV
  • NPI 1093741837
  NPD (past)

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

{
    "created_epoch": "1198454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1379548800000",
    "number": "1902080195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 GOSSMAN RD",
            "city": "SOUTHERN PINES",
            "state": "NC",
            "postal_code": "283872225",
            "telephone_number": "910-692-7293",
            "fax_number": "910-692-7293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 GOSSMAN RD",
            "city": "SOUTHERN PINES",
            "state": "NC",
            "postal_code": "283872225",
            "telephone_number": "910-692-7293",
            "fax_number": "910-692-7293"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KITCHEN",
        "first_name": "SHANNON",
        "middle_name": "NYKOL",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-12-24",
        "last_updated": "2013-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "11984",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karin Yount Kent, M.D.
• Kids' Residential Services, Inc.
• Kidzcare Pediatrics, PC
• Julia Dyan Ruth King, M.A., CCC/SLP
• Megan King
• Scott M. Klenzak, M.D.
• Scott Daniel Kneller, P.T.
• Bianca Kenneshia Knight
• Tamara Korpak
• Kim U Kremer, PHARM.D.

• Physical Therapist in Southern Pines, NC
• Providers in Southern Pines, NC by specialty
• Physical Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2013; 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.