MEDICARE: KRISTEN LEIGH ALFORD PT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	P9444	NC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	079VT	OTHER	NC	BCBS
2	E2267	OTHER	NC	MEDCOST

General Provider Information

NPI Number	:	1013024124
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KRISTEN LEIGH ALFORD PT

Provider Business Mailing Address
First Line	:	PO BOX 749
Second Line	:
City	:	BELMONT
State	:	NC
Zip	:	28012-0749
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	8814 RACHEL FREEMAN WAY STE 103
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28278-9570
Country	:	US
Telephone Number	:	704-295-4121
Fax Number	:	980-349-4031

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/24/2006
Last Update Date	:	09/15/2025

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