Kelley Munson Larkin

Primary specialty

Physical TherapistTaxonomy code 225100000X

Practice address

4701 Creedmoor Rd Ste 107
Raleigh, NC 27612-4500

Phone

(919) 676-2001

Fax

(919) 676-0023

NPI assigned

Dec 16, 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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Breakthrough Physical Therapy

  • Physical Therapist
  • Morehead City, NC
  • NPI 1083937692
  NPD (past)
• Breakthrough Physical Therapy Inc

  • Physical Therapist
  • Raleigh, NC
  • NPI 1245648534
  NPD (past)

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

{
    "created_epoch": "1544918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1544918400000",
    "number": "1982175097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "981 HIGH HOUSE RD STE 100",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275133510",
            "telephone_number": "193-880-1119",
            "fax_number": "919-388-8668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4701 CREEDMOOR RD STE 107",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276124500",
            "telephone_number": "919-676-2001",
            "fax_number": "919-676-0023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARKIN",
        "first_name": "KELLEY",
        "middle_name": "MUNSON",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-12-16",
        "last_updated": "2018-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lee Alan Larcade, M.D.
• Mary Reid Larcade, LPCA
• Deanna Lari
• Joshua Sawtelle Larimar, LMBT NC#19049
• Mark Robert Larimer, M.D.
• Lucian Carden Larkinlmbt, LMBT
• Elizabeth Ann Larosa, AUD
• Kathleen Larose, DPM
• Larry F Tilley DDS PA
• Larry J Moray, DDS, Ms PLLC VI

• Physical Therapist in Raleigh, NC
• Providers in Raleigh, 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 Dec 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.