KATHERINE A TULLY (NPI# 1669939526) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669939526 |
| Entity Type | Individual |
| Full Name | KATHERINE A TULLY |
| Credential | PT |
| Practice Address |
170 Kimel Park Dr Winston Salem NC 27103-6946 |
| Mailing Address |
4601 Park Rd Ste 300 Charlotte NC 28209-2290 |
| Practice Telephone | 3367681270 |
| Mailing Telephone | 7043233820 |
| Enumeration Date | 2019-02-27 |
| Last Update Date | 2019-02-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225100000X | Physical Therapist | P18604 | NC | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 170 Kimel Park Dr, Winston Salem, NC 271036946 | 3367681270 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689727380 | Katherine Denise Tully | Nurse Practitioner | 1060 1st Colonial Rd, Pediatrix Medical Group, Virginia Beach, VA 23454 | 2007-01-18 |
| Street Address |
170 KIMEL PARK DR |
| City | WINSTON SALEM |
| State | NC |
| Zip Code | 27103-6946 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306849047 | William Bryan Jennings | Orthopaedic Surgery | 170 Kimel Park Dr, Winston Salem, NC 27103 | 2005-05-26 |
| 1699388868 | Michael Anthony Walters Jr. | Specialist/Technologist | 170 Kimel Park Dr, Winston Salem, NC 27103-6946 | 2020-08-28 |
| 1548884992 | Ryan Dula | Occupational Therapist | 170 Kimel Park Dr, Winston Salem, NC 27103-6946 | 2020-06-02 |
| 1154957983 | Jennifer Baity Hill | Physical Therapist | 170 Kimel Park Dr, Winston Salem, NC 27103-6946 | 2020-03-12 |
| 1053879502 | Dylan Thomas Plocki | Physician Assistant | 170 Kimel Park Dr, Winston Salem, NC 27103-6946 | 2019-03-04 |
| 1073007373 | Ann Steber | Occupational Therapist | 170 Kimel Park Dr, Winston Salem, NC 27103 | 2018-06-20 |
| 1336633106 | Mark Stephen Phillips | Physician Assistant | 170 Kimel Park Dr, Winston Salem, NC 27103 | 2018-06-15 |
| 1730676081 | Michael Edward Arcuri | Physician Assistant | 170 Kimel Park Dr, Winston Salem, NC 27103 | 2018-04-21 |
| 1205341419 | Katlyn Marie Joyner | Physician Assistant | 170 Kimel Park Dr, Winston Salem, NC 27103-6946 | 2017-12-11 |
| 1366996621 | Todd Louis Carrigan | Physician Assistant | 170 Kimel Park Dr, Winston Salem, NC 27103-6946 | 2016-08-04 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124648126 | Kelly Anne Wales | Pharmacist | 3917-a Westpoint Boulevard, Winston-salem, NC 27103 | 2020-04-20 |
| 1386281533 | Elena Mcginty | Nurse Practitioner | 1225 Creekshire Way, Suite 270, Winston Salem, NC 27103 | 2019-12-06 |
| 1992359442 | Madeline Pryor | Pharmacist | 255 Charlois Drive, Winston Salem, NC 27103 | 2019-08-01 |
| 1215599584 | Palmetto Oxygen LLC | Durable Medical Equipment & Medical Supplies | 1100 S Stratford Road, Building B, Suite 420, Winston Salem, NC 27103 | 2019-07-07 |
| 1548734718 | Trivy Johnson | Specialist | 1384-b Westgate Center Dr., Winston Salem, NC 27103 | 2019-01-21 |
| 1447745047 | Novant Health Rehabilitation Hospital of Winston-salem, LLC | Rehabilitation Hospital | 2475 Hillcrest Center Circle, Winston Salem, NC 27103 | 2018-06-26 |
| 1346740206 | Joseph Miller | Physical Therapist | 1605 Westbrook Dr, Suite 103, Winston-salem, NC 27103 | 2018-02-17 |
| 1548779101 | Kristin Blow | Counselor | 3000 Bethesda Pl Ste 202, Winston Salem, NC 27103 | 2017-09-27 |
| 1891213443 | Alisha Dawn Wilson | Occupational Therapy Assistant | 2101 Homestead Hills Drive, Winston Salem, NC 27103 | 2017-09-05 |
| 1588186969 | Brandy Wilson | Social Worker | 153 Cameron Way Circle, Winston Salem, NC 27103 | 2017-07-07 |
| Find all providers in zip 27103 | ||||
| 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 |
|---|---|---|---|---|
| 1659988301 | David Steinbach | Physical Therapist | 2221 Queen St, Winston Salem, NC 27103-2303 | 2020-09-28 |
| 1962026401 | Gina M Medefindt | Physical Therapist | 149 Forest View Dr, Winston Salem, NC 27104-3638 | 2020-06-01 |
| 1932764875 | Virginia Willis Shoesmith | Physical Therapist | 190 Kimel Park Dr Ste 139, Winston Salem, NC 27103-6946 | 2019-05-07 |
| 1376044404 | Tyler Kloc | Physical Therapist | 5054 Peters Creek Pkwy Ste 18, Winston Salem, NC 27127-7276 | 2018-02-23 |
| 1326552027 | Christina Criminger | Physical Therapist | 601 S Martin Luther King Jr Dr Fl 346, Winston Salem, NC 27110-0003 | 2017-11-17 |
| 1134638026 | Nora B Rogers | Physical Therapist | 1605 Westbrook Plaza Dr Ste 103, Winston Salem, NC 27103-2900 | 2017-09-24 |
| 1699293654 | Bradford Tyler Shelton | Physical Therapist | 163 Stratford Ct Ste 135, Winston Salem, NC 27103-1830 | 2017-08-30 |
| 1275068306 | Farhinbanu Pathan | Physical Therapist | 5204 Ivystone Ln, Winston Salem, NC 27104-5052 | 2017-04-26 |
| 1356895700 | Mackenzie Hansen | Physical Therapist | 2342 Lyndhurst Ave, Winston Salem, NC 27103-3603 | 2016-08-14 |
| 1346699501 | Ayana Laura Graham | Physical Therapist | 3130 Woodfin Pl, Winston Salem, NC 27105-3949 | 2016-06-08 |
| Find all providers in WINSTON SALEM | ||||
| City | WINSTON SALEM |
| Zip Code | 27103 |
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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.