Organization Active NPI

Advanced Physical Therapy of Wilson

  • Physical Therapy Clinic/Center
  • Wilson, NC
National Provider Identifier
1013359827
Registry record updated Jul 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
P10731 Issued in NC
Legal business name
ADVANCED PHYSICAL THERAPY OF WILSON
Practice address
3011 NC Highway 42 W
Wilson, NC 27893-7735
Phone
(919) 300-5040
NPI assigned
Jul 22, 2013
Last updated
Jul 22, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2013

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

Authorized official

Name
Dr. Daniel Skulavik, PT, DPT, OCS
Title
Owner
Phone
(919) 300-5040

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X P10731 NC Primary

Addresses

Primary practice location

3011 NC Highway 42 W
Wilson, NC 27893-7735

Mailing address

1317 N Brightleaf Blvd Ste a
Smithfield, NC 27577-7267

National Provider Directory

National Provider Directory

Locations

1317 N Brightleaf Blvd
Ste A
Smithfield, NC 27577
Phone (516) 220-5410

3011 NC Highway 42 W
Wilson, NC 27893
Phone (252) 991-3985

NPI Registry JSON

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

{
    "created_epoch": "1374451200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1374451200000",
    "number": "1013359827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1317 N BRIGHTLEAF BLVD STE A",
            "city": "SMITHFIELD",
            "state": "NC",
            "postal_code": "275777267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3011 NC HIGHWAY 42 W",
            "city": "WILSON",
            "state": "NC",
            "postal_code": "278937735",
            "telephone_number": "919-300-5040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED PHYSICAL THERAPY OF WILSON",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-22",
        "last_updated": "2013-07-22",
        "status": "A",
        "authorized_official_last_name": "SKULAVIK",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "919-300-5040",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PT, DPT, OCS"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NC",
            "license": "P10731",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilson, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.