Kelly Lee Ann Cabanne

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

P18180 Issued in NC

Practice address

308 Brynn Marr Rd
Jacksonville, NC 28546-7023

Phone

(910) 478-9701

Fax

(910) 478-9703

NPI assigned

Sep 4, 2018

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

Enrolled in NC

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Activcare Physical Therapy, LLC

  • Clinic/Center
  • Raleigh, NC
  • NPI 1548409626

  Physical Therapist

  Medicare reassignment NPD
• Hampstead Physical Therapy

  • Physical Therapist
  • Hampstead, NC
  • NPI 1851569743
  Medicare reassignment NPD
• Synergy Physical Therapy & Sports Medicine LLC

  • Physical Therapy Clinic/Center
  • Jacksonville, NC
  • NPI 1326300013

  Physical Therapist

  Medicare reassignment NPD
• Burgaw Medical Center, P.C.

  • Family Medicine Physician
  • Hampstead, NC
  • NPI 1700104775
  NPD (past)
• Professional Physical Therapy & Rehabilitation, LLC

  • Physical Therapy Clinic/Center
  • Jacksonville, NC
  • NPI 1184806283
  NPD (past)

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

{
    "created_epoch": "1536019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536019200000",
    "number": "1972085272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 NEW FIDELITY CT",
            "city": "GARNER",
            "state": "NC",
            "postal_code": "275292665",
            "telephone_number": "919-258-2714",
            "fax_number": "410-648-4878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "308 BRYNN MARR RD",
            "city": "JACKSONVILLE",
            "state": "NC",
            "postal_code": "285467023",
            "telephone_number": "910-478-9701",
            "fax_number": "910-478-9703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CABANNE",
        "first_name": "KELLY",
        "middle_name": "LEE ANN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-04",
        "last_updated": "2018-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "P18180",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lakeesa Shawntia Butler, LCSWA
• Lloyd Allen Butler, O.D.
• Summer Rose Butrico, HIS
• C G Counseling and Consulting,PLLC
• C Haumann PLLC
• Cole Cable
• Allison Caggiano, AGPCNP-BC
• Milagros Palad Cailing, M.D.
• Gillian Teresa Cain
• Mary Ann Caldwell, LCSW

• Physical Therapist in Jacksonville, NC
• Providers in Jacksonville, 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 4, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.