Individual provider Active NPI

Kally Saffer

  • Physical Therapist
  • Raleigh, NC
National Provider Identifier
1942089057
Registry record updated Sep 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
P22654 Issued in NC
Practice address
6300 Creedmoor Rd Ste 116
Raleigh, NC 27612-6730
Phone
(919) 798-8199
NPI assigned
Sep 27, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2023

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 P22654 NC Primary

Addresses

Primary practice location

6300 Creedmoor Rd Ste 116
Raleigh, NC 27612-6730

Mailing address

6300 Creedmoor Rd Ste 116
Raleigh, NC 27612-6730
Phone (919) 798-8199

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240405000300 NC Practitioner - Physical Therapist in Private Practice 5890133177 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Duke University Health System, IncGroup PAC ID 2567372345, shared by 22 NPIs, 1,083 clinicians
Pro Motion Physical Therapy LLCGroup PAC ID 0042609786, 3 clinicians

Practice addresses (Care Compare)

1545 Orchard Villas Ave
Apex, NC 27502-4321
Phone (919) 954-4472

2301 Erwin Rd
Durham, NC 27705-4699
Phone (919) 684-8111

6300 Creedmoor Rd
Suite 116
Raleigh, NC 27612-6730
Phone (919) 798-8199

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Pro Motion Physical Therapy LLC Physical Therapist CurrentSince Jan 26, 2024 Accepting new patients

Locations

6300 Creedmoor Rd
Ste 116
Raleigh, NC 27612
Phone (919) 798-8199

Organizations & group practices 3

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": "1695772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695772800000",
    "number": "1942089057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6300 CREEDMOOR RD STE 116",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276126730",
            "telephone_number": "919-798-8199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6300 CREEDMOOR RD STE 116",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276126730",
            "telephone_number": "919-798-8199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAFFER",
        "first_name": "KALLY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-27",
        "last_updated": "2023-09-27",
        "certification_date": "2023-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "P22654",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2023; 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.