Individual provider Active NPI

Allyson H Daugherty, PT, CLT, CFM

  • Physical Therapist
  • Greenville, NC
National Provider Identifier
1013024645
Registry record updated Dec 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
7478 Issued in NC
Practice address
308 Greenville Blvd SE
Suite B-3
Greenville, NC 27858-5758
Phone
(252) 215-5225
Fax
(252) 215-5226
NPI assigned
Aug 23, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 11, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 7478 NC Primary

Addresses

Primary practice location

308 Greenville Blvd SE
Suite B-3
Greenville, NC 27858-5758

Mailing address

308 Greenville Blvd SE Ste B1
Greenville, NC 27858-5758
Phone (252) 215-5225

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070412000439 NC Practitioner - Physical Therapist in Private Practice 6507961976 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Avila Physical Therapy for Womens Health IncGroup PAC ID 3870663784, 2 clinicians

Practice addresses (Care Compare)

308 Greenville Blvd SE
Suite B1
Greenville, NC 27858-5758
Phone (252) 215-5225

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Avila Physical Therapy for Women'S Health Inc. Physical Therapist CurrentSince Jun 2, 2008 Accepting new patients
Therapeutic Life Center, Inc. Physical Therapist Past Accepting new patients

Locations

308 Greenville Blvd SE
Ste B1
Greenville, NC 27858
Phone (252) 215-5225

308 Greenville Blvd SE
Ste B3
Greenville, NC 27858
Phone (252) 215-5225

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733875200000",
    "number": "1013024645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "308 GREENVILLE BLVD SE STE B1",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278585758",
            "telephone_number": "252-215-5225",
            "fax_number": "252-215-5226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "308 GREENVILLE BLVD SE",
            "address_2": "SUITE B-3",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278585758",
            "telephone_number": "252-215-5225",
            "fax_number": "252-215-5226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAUGHERTY",
        "first_name": "ALLYSON",
        "middle_name": "H",
        "name_prefix": "Ms.",
        "credential": "PT, CLT, CFM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-23",
        "last_updated": "2024-12-11",
        "certification_date": "2024-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "7478",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.