Active NPI
Kristi Overstreet Whitcomb, PT
- Physical Therapist
- Louisburg, NC
National Provider Identifier
1972523546
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2255
- Practice address
- 1501 N Bickett Blvd
Suite F
Louisburg, NC 27549-2178 - Phone
- (919) 497-8414
- Fax
- (919) 497-8478
- NPI assigned
- Jul 19, 2006
- 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 Therapist | 225100000X | 2255 | NC | Primary |
Addresses
Primary practice location
1501 N Bickett Blvd
Suite F
Louisburg, NC 27549-2178
Mailing address
2413 Professional Dr
Rocky Mt, NC 27804-2254
Phone (252) 443-0808
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 068EV | Other | NC | BCBS |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2255 | NC | MD | Behavioral Analyst |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153267200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1228694400000",
"number": "1972523546",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2413 PROFESSIONAL DR",
"city": "ROCKY MT",
"state": "NC",
"postal_code": "278042254",
"telephone_number": "252-443-0808",
"fax_number": "252-451-9032"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1501 N BICKETT BLVD",
"address_2": "SUITE F",
"city": "LOUISBURG",
"state": "NC",
"postal_code": "275492178",
"telephone_number": "919-497-8414",
"fax_number": "919-497-8478"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHITCOMB",
"first_name": "KRISTI",
"middle_name": "OVERSTREET",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-19",
"last_updated": "2008-12-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NC",
"license": "2255",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "068EV",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Louisburg, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.