Active NPI
Sally J. Foster, PT
- Physical Therapist
- Wilmington, NC
National Provider Identifier
1003091794
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 4179
- Practice address
- 5710 Oleander Dr
Suite 210
Wilmington, NC 28403-4766 - Phone
- (910) 398-6301
- Fax
- (910) 398-6305
- NPI assigned
- Jan 1, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 4179 | NC | Primary |
Addresses
Primary practice location
5710 Oleander Dr
Suite 210
Wilmington, NC 28403-4766
Mailing address
5710 Oleander Dr
Suite 210
Wilmington, NC 28403-4766
Phone (910) 398-6301
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4179 | NC | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1199145600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1242259200000",
"number": "1003091794",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5710 OLEANDER DR",
"address_2": "SUITE 210",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284034766",
"telephone_number": "910-398-6301",
"fax_number": "910-398-6305"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5710 OLEANDER DR",
"address_2": "SUITE 210",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284034766",
"telephone_number": "910-398-6301",
"fax_number": "910-398-6305"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FOSTER",
"first_name": "SALLY",
"middle_name": "J.",
"name_prefix": "Mrs.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-01-01",
"last_updated": "2009-05-14",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NC",
"license": "4179",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wilmington, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.