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PORT CITY PHYSICAL THERAPY INC. NPI 1861580102


NPI Information

NPI: 1861580102
Provider Name: PORT CITY PHYSICAL THERAPY, INC.
Classification: Physical Therapist - 2251X0800X
Entity Type: Organization

Specialization: Orthopedic

Address:
321 N FRONT ST
WILMINGTON, NC
ZIP 28401
Phone: (910) 763-7674
Get Directions

PORT CITY PHYSICAL THERAPY, INC. is an orthopedic physical therapist in Wilmington, NC. The provider is a licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Orthopaedic Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science; pathology/pathophysiology, pain science, medical and surgical considerations, orthopaedic physical therapy theory and practice, and critical inquiry for evidence-based practice. PORT CITY PHYSICAL THERAPY, INC. NPI is 1861580102. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

321 N FRONT ST
WILMINGTON, NC
ZIP 28401-908
Phone: (910) 763-7674
Fax: (910) 763-8533

The provider's authorized official is Donald Royce Jarboe .
The authorized official title is President/ceo and has the following contact phone number (910) 763-7674.

The enumeration date for this NPI number is 10/11/2006 and was last updated on 9/30/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1222Z00000XOrthotist1796NORTH CAROLINANo
2225100000XPhysical Therapist2549NORTH CAROLINANo
3225700000XMassage Therapist173NORTH CAROLINANo
42251X0800XPhysical TherapistOrthopedic2549NORTH CAROLINAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1173OTHERNORTH CAROLINANC MASSAGE THERAPIST LIC#
22502308MEDICARE ID-TYPE UNSPECIFIEDNORTH CAROLINAMEDICARE PROVIDER NUMBER
37210534MEDICAIDNORTH CAROLINA
47200115MEDICAIDNORTH CAROLINA
52549OTHERNORTH CAROLINANC PT LICENSE NUMBER
6S99836MEDICARE UPINNORTH CAROLINA
71821190075OTHERNORTH CAROLINAINDIVIDUAL NPI NUMBER

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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