Active NPI
Integrated Pediatric Therapies
- Physical Medicine & Rehabilitation Physician
- Whiteville, NC
National Provider Identifier
1013426980
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- Legal business name
- INTEGRATED PEDIATRIC THERAPIES
- Practice address
- 138 Memory PLZ
Whiteville, NC 28472-2640 - Phone
- (910) 393-9749
- Fax
- (910) 250-1244
- NPI assigned
- Sep 23, 2017
- Organization subpart
- Yes
- Parent organization
- INTEGRATED PEDIATRIC THERAPIES LLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Jeffrey W Wickline, OTR
- Title
- Owner and Therapist
- Phone
- (203) 217-9366
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | Primary | ||
| Home Health Agency | 251E00000X | 9721 | NC | |
| Home Health Agency | 251E00000X | 1758 | CT |
Addresses
Primary practice location
138 Memory PLZ
Whiteville, NC 28472-2640
Mailing address
3260 Oceanic Bay Dr
Southport, NC 28461-6401
Phone (203) 217-9366
Other practice location 1
3260 Oceanic Bay Dr
Southport, NC 28461-6401
Phone (203) 217-9366
Other names 1
- Kids at play
National Provider Directory
National Provider Directory- Part of
- Integrated Pediatric Therapies
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Occupational Therapist
- Southport, NC
- NPI 1760899686
-
- Occupational Therapist
- Whiteville, NC
- NPI 1528852456
-
- Physical Therapist
- Southport, NC
- NPI 1295828093
Physical Medicine & Rehabilitation
-
- Occupational Therapist
- Monroe, NC
- NPI 1871160473
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1506124800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1744848000000",
"number": "1013426980",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3260 OCEANIC BAY DR",
"city": "SOUTHPORT",
"state": "NC",
"postal_code": "284616401",
"telephone_number": "203-217-9366",
"fax_number": "910-393-9749"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "138 MEMORY PLZ",
"city": "WHITEVILLE",
"state": "NC",
"postal_code": "284722640",
"telephone_number": "910-393-9749",
"fax_number": "910-250-1244"
}
],
"practiceLocations": [
{
"address_1": "3260 Oceanic Bay Dr",
"address_purpose": "LOCATION",
"city": "Southport",
"state": "NC",
"postal_code": "284616401",
"country_code": "US",
"telephone_number": "203-217-9366",
"fax_number": "910-250-1244",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "INTEGRATED PEDIATRIC THERAPIES",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "INTEGRATED PEDIATRIC THERAPIES LLC",
"enumeration_date": "2017-09-23",
"last_updated": "2025-04-17",
"certification_date": "2025-04-17",
"status": "A",
"authorized_official_last_name": "WICKLINE",
"authorized_official_first_name": "JEFFREY",
"authorized_official_middle_name": "W",
"authorized_official_title_or_position": "OWNER AND THERAPIST",
"authorized_official_telephone_number": "203-217-9366",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "OTR"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Medicine & Rehabilitation",
"state": null,
"license": null,
"primary": true
},
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "NC",
"license": "9721",
"primary": false
},
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "CT",
"license": "1758",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Kids at play",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Whiteville, NC
- Ana Maria Hubert, MD
- Andrew John Hutchinson, DO
- Anna-Marie H Inman, MA, LCMHC
- Instride Foot and Ankle Specialists, PLLC
- Integrated Pain Solutions PLLC
- Interim Healthcare of the Eastern Carolinas, Inc
- Interim Healthcare of the Eastern Carolinas, Inc
- J a McNeill & Sons & Daughters LLC
- Ja McNeill & Sons & Daughter LLC
- Jawanza Nyahuma Jabari, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.