Active NPI
Kevin Prue, PT,DPT,CSCS
- Physical Therapist
- Cary, NC
National Provider Identifier
1982017141
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 14896
- Practice address
- 1020 Southhill Dr Ste 140
Cary, NC 27513-8629 - Phone
- (919) 678-8828
- NPI assigned
- Jun 5, 2014
- Sex
- Male
- 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 | 14896 | NC | Primary |
Addresses
Primary practice location
1020 Southhill Dr Ste 140
Cary, NC 27513-8629
Mailing address
1020 Southhill Dr Ste 140
Cary, NC 27513-8629
Phone (919) 678-8828
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 |
|---|---|---|---|
| 14896 | NC | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Prue Physical Therapy and Sports Performance LLC | 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 Therapy Clinic/Center
- Cary, NC
- NPI 1457764623
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1401926400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1408752000000",
"number": "1982017141",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1020 SOUTHHILL DR STE 140",
"city": "CARY",
"state": "NC",
"postal_code": "275138629",
"telephone_number": "919-678-8828"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1020 SOUTHHILL DR STE 140",
"city": "CARY",
"state": "NC",
"postal_code": "275138629",
"telephone_number": "919-678-8828"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRUE",
"first_name": "KEVIN",
"name_prefix": "Dr.",
"credential": "PT,DPT,CSCS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-06-05",
"last_updated": "2014-08-23",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NC",
"license": "14896",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cary, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.