National Provider Identifier (NPI)
SOUTHPORT


Jurisdiction: Medicare & Medicaid
Source: Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)

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.

SOUTHPORT · 630 N FODALE AVE · Search Result

NPI Name Taxonomy Address Enumeration
1891761979 Ocean Trail Convalescent Center, Inc. Skilled Nursing Facility 630 N Fodale Ave, Southport, NC 28461-3538 2006-02-27
1548770423 Liberty Healthcare Group LLC Skilled Nursing Facility 630 N Fodale Ave, Southport, NC 28461 2017-10-05
1548642754 Laura Elson Physical Therapist 630 N Fodale Ave, Southport, NC 28461-3538 2015-06-24
1952791832 Chris G Shepherd Physical Therapy Assistant 630 N Fodale Ave, Southport, NC 28461-3538 2015-01-29
1245635317 Ginny Hopkins Occupational Therapy Assistant 630 N Fodale Ave, Southport, NC 28461-3538 2014-10-30
1275978173 Anita Faye Mckinney Occupational Therapist 630 N Fodale Ave, Southport, NC 28461-3538 2013-05-06
1902106065 Douglas Erick Wood Physical Therapy Assistant 630 N Fodale Ave, Southport, NC 28461-3538 2010-10-23
1427366343 Victoria Wessell Occupational Therapist 630 N Fodale Ave, Southport, NC 28461-3538 2010-09-14
1326367962 Lauren Davis Brady Speech-Language Pathologist 630 N Fodale Ave, Southport, NC 28461-3538 2010-05-21
1740503812 Harrietthall Hall Witherspoon Occupational Therapist 630 N Fodale Ave, 630 N Fodale Ave, Southport, NC 28461-3538 2010-03-03
1538494919 Debora Pyne Lipsen Physical Therapist 630 N Fodale Ave, Southport, NC 28461-3538 2009-10-02
1467684571 Christopher Michael Dillard Physical Therapy Assistant 630 N Fodale Ave, Southport, NC 28461-3538 2009-08-24
1225278229 Christine Louise Sparks Occupational Therapist 630 N Fodale Ave, Southport, NC 28461-3538 2009-03-03
1184860157 Juanita A Adams Speech-Language Pathologist 630 N Fodale Ave, Southport, NC 28461-3538 2008-12-22
1679718522 Jamie O'neal Phillips Occupational Therapist 630 N Fodale Ave, Southport, NC 28461-3538 2008-12-06
1679728851 Karen Winstead Cook Occupational Therapy Assistant 630 N Fodale Ave, Southport, NC 28461-3538 2008-12-01
1699961540 Ocean Trail Convalescent Center Custodial Care Facility 630 N Fodale Ave, Southport, NC 28461-3538 2007-09-24