PHYSICAL THERAPY SERVICES OF WILMINGTON (NPI# 1851518997) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851518997 |
| Entity Type | Organization |
| Organization Name | PHYSICAL THERAPY SERVICES OF WILMINGTON |
| Practice Address |
1776 S 17th St Wilmington NC 28401-6442 |
| Practice Telephone | 9107638286 |
| Practice Fax Number | 9102519289 |
| Mailing Telephone | 9107638286 |
| Mailing Fax Number | 9102519289 |
| Enumeration Date | 2007-04-19 |
| Last Update Date | 2007-08-14 |
| Authorized Official Name | ROBERT ALAN SIMMERMAN (OWNER) |
| Authorized Official Telephone | 9107638286 |
| Authorized Official Credential | PT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 225XH1200X |
Occupational Therapist Specialization: Hand |
NC | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | |
| Y | 225100000X | Physical Therapist | NC | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | BCBS OF NC | 0176F | 01 |
| NC | 7210839 | 05 | |
| NC | RAILROAD MEDICARE | L2827 | 01 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| North Carolina Corporations | Physical Therapy Services of Wilmington LLC | 1776 S 17th Street, Wilmington, NC 28401 |
| Street Address |
1776 S 17TH ST |
| City | WILMINGTON |
| State | NC |
| Zip Code | 28401-6442 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144254202 | Maria Theresa Ramsey | Physical Therapist | 1776 S 17th St, Wilmington, NC 28401-6442 | 2006-07-11 |
| 1932710670 | Layla Moran | Physical Therapist | 1776 S 17th St, Wilmington, NC 28401-6442 | 2020-08-16 |
| 1689232191 | Grace Brooks | Physical Therapist | 1776 S 17th St, Wilmington, NC 28401-6442 | 2019-05-30 |
| 1710465471 | Colin Mcglynn | Physical Therapist | 1776 S 17th St, Wilmington, NC 28401-6442 | 2018-08-03 |
| 1306368428 | Caitlin Long | Physical Therapist | 1776 S 17th St, Wilmington, NC 28401-6442 | 2017-07-11 |
| 1225569429 | Leneve Duncan | Physical Therapist | 1776 S 17th St, Wilmington, NC 28401-6442 | 2017-03-21 |
| 1366898686 | Dawn Mack | Occupational Therapy Assistant | 1776 S 17th St, Wilmington, NC 28401-6442 | 2016-05-05 |
| 1184093353 | Laura Holmes | Occupational Therapy Assistant | 1776 S 17th St, Wilmington, NC 28401-6442 | 2015-09-17 |
| 1538506837 | Mishelle Y.m Dixon | Occupational Therapy Assistant | 1776 S 17th St, Wilmington, NC 28401-6442 | 2013-05-28 |
| 1407290661 | William Nutt | Physical Therapist | 1776 S 17th St, Wilmington, NC 28401-6442 | 2013-04-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275002461 | Thrivetothrive, LLC | Physical Therapist | 1606 Physicians Drive, Inside Promina Health, Wilmington, NC 28401 | 2018-11-16 |
| 1841787454 | Kevin Christopher Panebianco | Family Medicine | 1911 S 17th St Ste 130a, Wilmington, NC 28401 | 2018-04-18 |
| 1518472588 | Michelle Bruin | Family Medicine | 415 S. 2nd Street, Wilmington, NC 28401 | 2017-12-12 |
| 1639617343 | Anna Farwell | Behavior Technician | 3904 Oleander Dr. Suite 102, Wilmington, NC 28401 | 2017-02-02 |
| 1588034144 | Dimitri Zivko Pitovski | Allergy & Immunology | 1099 Medical Center Dr Unit 100b, Wilmington, NC 28401 | 2015-09-25 |
| 1629457007 | Megan Havel | Counselor | 1512 E Lakeshore Drive, Wilmington, NC 28401 | 2015-05-19 |
| 1154709251 | Lance Hutchens | Dentist | 1611 Doctors Cir, Wilmington, NC 28401 | 2015-05-11 |
| 1609281161 | Diane Pittman Whitford | Counselor | 313 Walnut St., Wilmington, NC 28401 | 2014-06-24 |
| 1942550728 | Bryan Cole Chalk | Nurse Anesthetist, Certified Registered | 2131 S 17th Street, Wilmington, NC 28401 | 2012-09-19 |
| 1740566546 | Valerie Baars | Pharmacist | 2302 S 17th Street, Wilmington, NC 28401 | 2011-10-25 |
| Find all providers in zip 28401 | ||||
| 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 |
|---|---|---|---|---|
| 1770199697 | Andrew Brett Berta | Physical Therapist | 2060 Limestone Rd Ste 201, Wilmington, DE 19808-5500 | 2020-09-16 |
| 1336762723 | Brittany Ann Vavra Marki | Physical Therapist | 2516 Independence Blvd Ste 101, Wilmington, NC 28412-7159 | 2020-05-20 |
| 1578105599 | Alexander Stewart | Physical Therapist | 4723 Concord Pike, Wilmington, DE 19803-1446 | 2019-10-10 |
| 1487295150 | Everybody Swim | Physical Therapist | 343 Julia Dr, Wilmington, NC 28412-7939 | 2019-10-03 |
| 1184279390 | Carolina Healthcare Associates Inc | Physical Therapist | 2710 Market St, Wilmington, NC 28403-1218 | 2019-08-05 |
| 1811552037 | Erin Fitzpatrick LLC | Physical Therapist | 441 Biscayne Dr, Wilmington, NC 28411-9428 | 2019-05-02 |
| 1619434727 | Mackenzie Cross | Physical Therapist | 707 Grace St, Wilmington, NC 28401-4134 | 2019-02-25 |
| 1669938833 | Faith K Patterson | Physical Therapist | 613 Kilburn Rd, Wilmington, DE 19803-1704 | 2019-02-13 |
| 1689139099 | Stephanie Manning | Physical Therapist | 1401 Foulk Rd Ste 2013, Wilmington, DE 19803-2763 | 2019-02-11 |
| 1689146821 | George Meek | Physical Therapist | 612 Blue Point Dr, Wilmington, NC 28411-7361 | 2018-12-28 |
| Find all providers in WILMINGTON | ||||
| City | WILMINGTON |
| Zip Code | 28401 |
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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.