MS. KRISTIN MICHELLE HIETBRINK (NPI# 1255315529) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255315529 |
| Entity Type | Individual |
| Full Name | MS. KRISTIN MICHELLE HIETBRINK |
| Credential | PT |
| Practice Address |
11840 Southmore Dr Suite 100 Charlotte NC 28277-4466 |
| Mailing Address |
Po Box 60447 Charlotte NC 28260-0447 |
| Practice Telephone | 7043164443 |
| Practice Fax Number | 7043164444 |
| Mailing Telephone | 7043164443 |
| Mailing Fax Number | 7043164444 |
| Enumeration Date | 2005-12-01 |
| Last Update Date | 2020-10-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225100000X | Physical Therapist | 10033 | NC | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | AETNA | 7905668 | 01 |
| NC | BCBS | 079P8 | 01 |
| Street Address |
11840 SOUTHMORE DR SUITE 100 |
| City | CHARLOTTE |
| State | NC |
| Zip Code | 28277-4466 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013453604 | Novant Medical Group, Inc. | Pediatrics | 11840 Southmore Dr, Suite 200, Charlotte, NC 28277-4466 | 2017-01-06 |
| 1962957555 | Novant Medical Group, Inc | Psychiatry & Neurology | 11840 Southmore Dr, Suite 201, Charlotte, NC 28277-4466 | 2016-08-24 |
| 1700236023 | G Abrams & R Cohen Xv PC | Dentist | 11840 Southmore Dr, Suite 150, Charlotte, NC 28277-4466 | 2016-06-17 |
| 1013386895 | Carolina Medicorp Enterprises, Inc | Family Medicine | 11840 Southmore Dr, Suite 100, Charlotte, NC 28277-4466 | 2015-09-22 |
| 1083015028 | Novant Medical Group, Inc | Internal Medicine | 11840 Southmore Dr, Suite 201, Charlotte, NC 28277-4466 | 2014-09-09 |
| 1063766848 | Omolara Layeni | Physician Assistant | 11840 Southmore Dr, Suite 100, Charlotte, NC 28277 | 2012-11-01 |
| 1043566680 | Molly Elizabeth Capella | Physical Therapist | 11840 Southmore Dr, Suite 100, Charlotte, NC 28277-4466 | 2012-08-01 |
| 1235401035 | Eric R Ford | Physical Therapist | 11840 Southmore Dr, Suite 100, Charlotte, NC 28277-4466 | 2012-02-08 |
| 1992091466 | Daryl Palmer | Physical Therapist | 11840 Southmore Dr, Suite 100, Charlotte, NC 28277-4466 | 2011-06-23 |
| 1649596768 | Michael A. Rosenberg | Physical Therapist | 11840 Southmore Dr, Suite 100, Charlotte, NC 28277-4466 | 2010-04-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255949731 | New Life Peer Support and Coaching LLC | Clinic/Center | 3450 Toringdon Way, Suite 200, Charlotte, NC 28277 | 2020-07-21 |
| 1083256762 | Speak Life Counseling Services, Pllc | Counselor | 16147 Lacaster Hwy, Suite 110, Charlotte, NC 28277 | 2019-10-14 |
| 1275010019 | Jigneshkumar R Mistry | Pharmacist | 11805 Allforth Ln Apt 2105, Charlotte, NC 28277 | 2018-07-24 |
| 1255825410 | Novant Medical Group Inc. | Family Medicine | 15033 Balloncroft Parkway, Suite 200, Charlotte, NC 28277 | 2018-06-20 |
| 1447752316 | Harris Teeter LLC | Durable Medical Equipment & Medical Supplies | 11135 Golf Links Dr, Charlotte, NC 28277 | 2018-03-06 |
| 1932607595 | Charlotte Proactive Md PC | Clinic/Center | 11220 Golf Links Drive North, Charlotte, NC 28277 | 2018-01-30 |
| 1003331521 | Accela Spine and Pain, Pllc | Anesthesiology | 10120 Ivey Chase Lane, Apt 617, Charlotte, NC 28277 | 2017-08-04 |
| 1265961619 | Dominicka Whitaker | Counselor | 12365 Bluestem Ln., Charlotte, NC 28277 | 2017-06-08 |
| 1083143408 | Monika D Hayes | Counselor | 11330 Snapfinger Drive, Charlotte, NC 28277 | 2017-06-08 |
| 1225582984 | Danielle Mcdaniel | Occupational Therapist | 5113 Piper Station Dr Ste 103, Charlotte, NC 28277 | 2016-08-11 |
| Find all providers in zip 28277 | ||||
| Taxonomy Code | 225100000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT’s assess joint motion, muscle strength and endurance, function of heart and lungs, and performance of activities required in daily living, among other responsibilities. Treatment includes therapeutic exercises, cardiovascular endurance training, and training in activities of daily living. (2) A physical therapist is a person qualified by an accredited program in physical therapy, licensed by the state, and practicing within the scope of that license. Physical therapists treat disease, injury, or loss of a bodily part by physical means, such as the application of light, heat, cold, water, electricity, massage and exercise. They develop treatment plans based upon each patient’s strengths, weaknesses, range of motion and ability to function. (3) A health professional who specializes in physical therapy- the health care field concerned primarily with the treatment of disorders with physical agents and methods, such as massage, manipulation, therapeutic exercises, cold, heat (including short-wave, microwave, and ultrasonic diathermy), hydrotherapy, electric stimulation and light to assist in rehabilitating patients and in restoring normal function after an illness or injury. |
| Notes: Source: (1) APTA Guidelines for Physical Therapy Claims Review, American Physical Therapy Association. (3) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891322616 | Lauren Blakey Gass | Physical Therapist | 7320 Brice Knoll Ln # D-305, Charlotte, NC 28269-3435 | 2020-03-23 |
| 1902431539 | Michelle Jane Hughes | Physical Therapist | 8024 Black Forest Ln Apt 11108, Charlotte, NC 28277-6736 | 2020-03-04 |
| 1538793237 | Mary Allison Cargill | Physical Therapist | 1700 N Brevard St Apt 217, Charlotte, NC 28206-3615 | 2020-03-03 |
| 1902436074 | Sarah Sullivan | Physical Therapist | 2120 N Brevard St Apt 147, Charlotte, NC 28206-3657 | 2020-01-17 |
| 1922644830 | Steven James Underwood | Physical Therapist | Aldersgate Ccrc, 3800 Shamrock Drive, Charlotte, NC 28078 | 2019-11-26 |
| 1265073423 | Christopher Dyba | Physical Therapist | 6034 Heath Valley Rd, Charlotte, NC 28210-4352 | 2019-09-30 |
| 1558919324 | Briana Packer | Physical Therapist | 5501 Sharon Rd, Charlotte, NC 28210-6357 | 2019-08-26 |
| 1720633258 | Roper Physical Therapy, Inc. | Physical Therapist | 301 E Tremont Ave Ste B, Charlotte, NC 28203-5484 | 2019-08-01 |
| 1770135188 | Parita Joshi | Physical Therapist | 7417 Hidden Creek Dr, Charlotte, NC 28214-8896 | 2019-07-15 |
| 1770147142 | Kelsi Brooke Fabin | Physical Therapist | 1901 Summey Ave, Charlotte, NC 28205-7931 | 2019-04-30 |
| Find all providers in CHARLOTTE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.