Active NPI
Wendi Dawn Sheets, PTA
- Physical Therapy Assistant
- Sanford, NC
National Provider Identifier
1912198326
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 3354
- Practice address
- 1210 Carthage S
Kinetic Institute Physical Therapy, Inc
Sanford, NC 27330 - Phone
- (919) 776-5488
- Fax
- (919) 776-8224
- NPI assigned
- Aug 9, 2007
- 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 Therapy Assistant | 225200000X | 3354 | NC | Primary |
Addresses
Primary practice location
1210 Carthage S
Kinetic Institute Physical Therapy, Inc
Sanford, NC 27330
Mailing address
1210 Carthage St
Kinetic Institute Physical Therapy, Inc
Sanford, NC 27330
Phone (919) 776-5488
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3354 | NC | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kinetic Institute Physical Therapy, Inc | Past | Accepting new patients |
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 Therapist
- Sanford, NC
- NPI 1962503342
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1186617600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1186617600000",
"number": "1912198326",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1210 CARTHAGE ST",
"address_2": "KINETIC INSTITUTE PHYSICAL THERAPY, INC",
"city": "SANFORD",
"state": "NC",
"postal_code": "27330",
"telephone_number": "919-776-5488",
"fax_number": "919-776-8224"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1210 CARTHAGE S",
"address_2": "KINETIC INSTITUTE PHYSICAL THERAPY, INC",
"city": "SANFORD",
"state": "NC",
"postal_code": "27330",
"telephone_number": "919-776-5488",
"fax_number": "919-776-8224"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHEETS",
"first_name": "WENDI",
"middle_name": "DAWN",
"credential": "PTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-08-09",
"last_updated": "2007-08-09",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "NC",
"license": "3354",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sanford, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 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.