Individual provider Active NPI

Nina Cunningham Keck

  • Physical Therapist
  • Newton, NC
National Provider Identifier
1982953485
Registry record updated Aug 30, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5859 Issued in NC
Practice address
1915 Fairgrove Church Rd
Newton, NC 28658-8531
Phone
(828) 468-3980
Fax
(828) 464-2845
NPI assigned
Aug 30, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2012

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 5859 NC Primary

Addresses

Primary practice location

1915 Fairgrove Church Rd
Newton, NC 28658-8531

Mailing address

1915 Fairgrove Church Rd
Newton, NC 28658-8531
Phone (828) 468-3980

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

LicenseStateTypeSpecialty
5859NCMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Pace@Home, Inc PastSince Jul 9, 2025 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.

NPI Registry JSON

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

{
    "created_epoch": "1346284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346284800000",
    "number": "1982953485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1915 FAIRGROVE CHURCH RD",
            "city": "NEWTON",
            "state": "NC",
            "postal_code": "286588531",
            "telephone_number": "828-468-3980",
            "fax_number": "828-464-2845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1915 FAIRGROVE CHURCH RD",
            "city": "NEWTON",
            "state": "NC",
            "postal_code": "286588531",
            "telephone_number": "828-468-3980",
            "fax_number": "828-464-2845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KECK",
        "first_name": "NINA",
        "middle_name": "CUNNINGHAM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-30",
        "last_updated": "2012-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "5859",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newton, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2012; 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.