Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kelly Marie Blevins, MSPT

Individual provider Physical Therapist · NPI 1619097870

Kelly Marie Blevins, MSPT is a Physical Therapist in Private Practice in Wilmington, North Carolina. Qualified in 2005, 21 years ago. Practices as a sole proprietor. Licensed in North Carolina.

Years since qualifying
21
Licensed in
NC
In the registry since
2007
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Practice location Address checks out

631 Junction Creek Dr
Wilmington, NC 28412-2296
Phone: (910) 791-9141
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 11177 (NC)

Record details

NPI number1619097870
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSPT
Sole proprietorYes
NPI enumeratedMarch 30, 2007
Last updated in NPPESMay 5, 2025
Certification dateMay 5, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2005 (21 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

Other providers in Wilmington