Keirah Carmichael

Individual provider Active NPI Physical Therapy Assistant · Thomasville, NC

NPI 1932902020 · NPPES record last updated Apr 1, 2025

Key facts

NPI
1932902020
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapy Assistant 225200000X
License
A6492 (NC)
Practice address
1028 Blair St
Thomasville, NC 27360-4359
Phone
(336) 472-7771
NPI assigned
Apr 1, 2025
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
A6492NCMDPhysical Therapy Assistant

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X A6492 NC Yes

Addresses

Primary practice location

1028 Blair St
Thomasville, NC 27360-4359

Mailing address

254 Buckhill Village Dr Apt 206
Burlington, NC 27215-8266

Other providers in Thomasville, NC

All providers in Thomasville, NC · Physical Therapy Assistant in North Carolina

Sources for this page

Verify at the official NPI Registry.