HAVELOCK PEAK PERFORMANCE SPORTS & PHYSICAL THERAPY, LLC (NPI# 1588623847) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588623847 |
| Entity Type | Organization |
| Organization Name | HAVELOCK PEAK PERFORMANCE SPORTS & PHYSICAL THERAPY, LLC |
| Practice Address |
1202 E Main St Havelock NC 28532-2405 |
| Mailing Address |
Po Box 13609 New Bern NC 28561-3609 |
| Practice Telephone | 2524474005 |
| Practice Fax Number | 2524474001 |
| Mailing Telephone | 2526369800 |
| Mailing Fax Number | 2526361945 |
| Enumeration Date | 2006-03-23 |
| Last Update Date | 2018-04-30 |
| Authorized Official Name | JOSEPH LAURENT (AUTHORIZED OFFICIAL) |
| Authorized Official Telephone | 6163565011 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225100000X | Physical Therapist | N/A | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | BCBSNC | 017XX | 01 |
| NC | 7212000 | 05 |
| Street Address |
1202 E MAIN ST |
| City | HAVELOCK |
| State | NC |
| Zip Code | 28532-2405 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114211778 | Maegan Barry | Physical Therapist | 1202 E Main St, Havelock, NC 28532-2405 | 2011-06-01 |
| 1720034564 | Deena Joelle Stern | Physical Therapist | 1202 E Main St, Havelock, NC 28532-2405 | 2006-05-25 |
| 1174591697 | Judith H Hickes | Physical Therapist | 1202 E Main St, Havelock, NC 28532-2405 | 2006-03-10 |
| 1174595482 | Andrew M Klatt | Physical Therapist | 1202 E Main St, Havelock, NC 28532-2405 | 2006-02-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194341396 | Tara-dawm R Tootle | Pharmacist | 1204 E Mail St, Havelock, NC 28532 | 2020-06-23 |
| 1194377903 | Jessy Eugene Warren Whittall | Military Health Care Provider | 4389 Beafort Rd, Havelock, NC 28532 | 2019-07-11 |
| 1508375676 | Lacey Leeann Robinson | Dentist | 610 Miller Boulevard, Havelock, NC 28532 | 2017-09-21 |
| 1053861112 | Adam Toliver Davis | Dentist | 502 Us Hwy 70 West, Havelock, NC 28532 | 2016-10-12 |
| 1467825331 | Stephany Agudelo | Social Worker | 102 Verona Dive, Havelock, NC 28532 | 2015-11-02 |
| 1386089225 | Joanna Tiaira Johnson | Nurse Practitioner | 4389 Beaufort, Havelock, NC 28532 | 2013-05-06 |
| 1962665653 | Coastal Childrens Clinic | Pediatrics | 218 Stone Bridge Square, Havelock, NC 28532 | 2008-07-03 |
| 1235325218 | Michelle Land Amber | Dietitian, Registered | 210 Stonebridge Square, Havelock, NC 28532 | 2007-09-24 |
| 1437217213 | Havelock Chiropractic Center P.a. | Chiropractor | 314 Highway 70 West, Havelock, NC 28532 | 2006-12-05 |
| 1831273127 | David Lee Woodward Jr. | Chiropractor | 314 Hwy. 70 West, Havelock, NC 28532 | 2006-10-24 |
| Find all providers in zip 28532 | ||||
| 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 |
|---|---|---|---|---|
| 1700070356 | Carolina Orthopedic and Sports Medicine Inc | Physical Therapist | 600d Fontana Blvd, Havelock, NC 28532-3104 | 2007-08-28 |
| 1114211778 | Maegan Barry | Physical Therapist | 1202 E Main St, Havelock, NC 28532-2405 | 2011-06-01 |
| 1720034564 | Deena Joelle Stern | Physical Therapist | 1202 E Main St, Havelock, NC 28532-2405 | 2006-05-25 |
| 1174591697 | Judith H Hickes | Physical Therapist | 1202 E Main St, Havelock, NC 28532-2405 | 2006-03-10 |
| 1174595482 | Andrew M Klatt | Physical Therapist | 1202 E Main St, Havelock, NC 28532-2405 | 2006-02-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487255188 | Julia Sandridge Lafoon | Physical Therapist | 1031 E Mountain St Bldg 318-101, Kernersville, NC 27284-7998 | 2020-11-08 |
| 1346841467 | Meredith Burleson Hoilman | Physical Therapist | 31 Cross St Ste 219, Spruce Pine, NC 28777-6159 | 2020-11-04 |
| 1770184962 | Samantha Hoover | Physical Therapist | 612 Cedar Brook Way, Chapel Hill, NC 27516-5526 | 2020-11-04 |
| 1326649518 | Kendall Taylor Parsons | Physical Therapist | 5601 Arringdon Park Dr Ste 220, Morrisville, NC 27560-5643 | 2020-11-04 |
| 1326647322 | Kathleen Blair | Physical Therapist | 49 Willowbrook Rd, Asheville, NC 28805-1430 | 2020-10-21 |
| 1720687817 | Jennifer M Gallione | Physical Therapist | 736 Brawley School Rd Unit 349, Mooresville, NC 28117-9282 | 2020-10-20 |
| 1467050526 | Molly Staffod Cockett | Physical Therapist | 401 Attain St Ste 121, Fuquay Varina, NC 27526-2702 | 2020-10-12 |
| 1104424340 | Cheryl Tucker Delong | Physical Therapist | 27 Sunview Cir, Arden, NC 28704-9326 | 2020-10-10 |
| 1669079521 | Coty Rajek | Physical Therapist | 954 2nd St Ne Spc 6, Hickory, NC 28601-3842 | 2020-10-05 |
| 1609483148 | Hannah Leshin Kirkman | Physical Therapist | 1481 Kelly Rd, Apex, NC 27502-9572 | 2020-09-29 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on HAVELOCK PEAK PERFORMANCE SPORTS & PHYSICAL THERAPY, LLC.
| 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.