Provider Demographics
NPI:1538253562
Name:MCALISTER, KEVIN O (DPT,OCS)
Entity type:Individual
Prefix:MR
First Name:KEVIN
Middle Name:O
Last Name:MCALISTER
Suffix:
Gender:M
Credentials:DPT,OCS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:829 THOMPSON RD
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:NC
Mailing Address - Zip Code:28734-2130
Mailing Address - Country:US
Mailing Address - Phone:828-369-3252
Mailing Address - Fax:
Practice Address - Street 1:4 MARKET ST
Practice Address - Street 2:SUITE 4103
Practice Address - City:BREVARD
Practice Address - State:NC
Practice Address - Zip Code:28712-5635
Practice Address - Country:US
Practice Address - Phone:828-877-2110
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-03
Last Update Date:2024-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCNC8721225100000X
NC96952251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
No2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC7211281Medicaid
NC078RGOtherBLUE CROSS BLUE SHIELD #
NCB8363OtherMEDCOST #
NC650024793OtherRR MEDICARE #
NC2503999Medicare ID - Type Unspecified