PORT CITY PHYSICAL THERAPY, INC.


Address: 321 N Front St, Wilmington, NC 28401-3908
Phone: 9107637674

PORT CITY PHYSICAL THERAPY, INC. (NPI# 1861580102) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1861580102
Entity Type Organization
Organization Name PORT CITY PHYSICAL THERAPY, INC.
Practice Address 321 N Front St
Wilmington
NC 28401-3908
Practice Telephone 9107637674
Practice Fax Number 9107638533
Mailing Telephone 9107637674
Mailing Fax Number 9107638533
Enumeration Date 2006-10-11
Last Update Date 2008-09-30
Authorized Official Name MR. DONALD ROYCE JARBOE (PRESIDENT/CEO)
Authorized Official Telephone 9107637674
Authorized Official Credential PT
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 222Z00000X Orthotist 1796 NC Respiratory, Developmental, Rehabilitative and Restorative Service Providers
N 225100000X Physical Therapist 2549 NC Respiratory, Developmental, Rehabilitative and Restorative Service Providers
N 225700000X Massage Therapist 173 NC Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Y 2251X0800X Physical Therapist
Specialization: Orthopedic
2549 NC Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
NC 7210534 05
NC NC PT LICENSE NUMBER 2549 01
NC 7200115 05
NC INDIVIDUAL NPI NUMBER 1821190075 01
NC NC MASSAGE THERAPIST LIC# 173 01

Office Location

Street Address 321 N FRONT ST
City WILMINGTON
State NC
Zip Code 28401-3908

Providers in the same location

NPI Name Taxonomy Address Enumeration
1407469158 Oaces Community Health Care Home Health Aide 321 N Front St, Wilmington, NC 28401-3908 2020-08-24
1295178424 Velocity Physical Therapy,llc Physical Therapist 321 N Front St, Wilmington, NC 28401-3908 2013-04-08
1972829265 Nicole Elizabeth Chalmers Physical Medicine & Rehabilitation 321 N Front St, Wilmington, NC 28401-3908 2010-04-13
1447484316 James August Zanker Counselor 321 N Front St, Suite 214, Wilmington, NC 28401-3908 2009-05-07
1720250467 Jon Christopher Hall Counselor 321 N Front St, Wilmington, NC 28401-3908 2008-04-01
1992824833 Jessica Hartmann Physical Therapist 321 N Front St, Wilmington, NC 28401-3908 2007-03-29
1245359082 Barbara Dols Massage Therapist 321 N Front St, Wilmington, NC 28401-3908 2007-03-29
1295854057 Kara Jarboe Physical Therapist 321 N Front St, Wilmington, NC 28401-3908 2007-03-29

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 2251X0800X
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification Physical Therapist
Specialization Orthopedic

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1548891856 Amy Kuratnick Physical Therapist 3411 Silverside Rd Ste 105, Wilmington, DE 19810-4806 2020-01-27
1275002461 Thrivetothrive, LLC Physical Therapist 1606 Physicians Drive, Inside Promina Health, Wilmington, NC 28401 2018-11-16
1144207341 Cynthia Lassiter Murphy Physical Therapist 2246 Yaupon Dr, Wilmington, NC 28401-7329 2005-12-28
1689232191 Grace Brooks Physical Therapist 1776 S 17th St, Wilmington, NC 28401-6442 2019-05-30
1538602792 Kayla Workman Physical Therapist 2716 Ashton Dr, Wilmington, NC 28412-2489 2016-11-21
1255755112 Matthew Higley Physical Therapist 101 Garden of Eden Rd, Wilmington, DE 19803-1511 2014-02-13
1629407846 Phyllis Sherman Physical Therapist 1010 N Bancroft Pkwy, Wilmington, DE 19805-2690 2013-11-07
1457456154 James L Poston Physical Therapist 1600 N Washington St, Wilmington, DE 19802-4722 2006-09-14
1477565307 Ellen Hassert Levine Physical Therapist 5550 Kirkwood Hwy, Wilmington, DE 19808-5002 2006-08-12
1861446627 Lance Baker Campbell Physical Therapist 3787 Shipyard Blvd, Wilmington, NC 28403-6148 2006-05-19
Find all providers in WILMINGTON

Competitor

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City WILMINGTON
Zip Code 28401

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Dataset Information

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.

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