Healthy Seniors
Organization Active NPI Geriatric Physical Therapist · Wilmington, NC
NPI 1013548072 · NPPES record last updated Apr 22, 2020
Key facts
- NPI
- 1013548072
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Geriatric Physical Therapist 2251G0304X
- Legal business name
- HEALTHY SENIORS
- Practice address
- 4829 Carolina Beach Rd Ste 100
Wilmington, NC 28412-2366 - Phone
- (910) 444-0020
- NPI assigned
- Jan 29, 2020
- Organization subpart
- No
Authorized official
- Name
- Ross Terry, DPT
- Title
- Owner
- Phone
- (731) 845-3038
Practitioners 13
-
Ross Terry, PT
-
Lori K Apple, MSPT
-
Susan Marie Lowe, PT
-
Taylor A. Miskech, PT, DPT
-
Megan Michael Owens, PT, DPT
-
Ila Rickman, DPT
-
Sheila Farrell, P.T.
-
Blair McCarty, DPT
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NC
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20200424000790 | NC | Part B Supplier - Clinic/Group Practice | 5193155695 |
Receives reassigned benefits from 11 practitioners Practice locations: Leland, NC; Wilmington, NC |
National Provider Directory
Locations
2783 Compass Pointe South Wynd NE
Unit 5
Leland, NC 28451
Phone (910) 371-8100
4829 Carolina Beach Rd
Ste 100
Wilmington, NC 28412
Phone (910) 444-0020
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Geriatric Physical Therapist |
2251G0304X | Yes |
Addresses
Primary practice location
4829 Carolina Beach Rd Ste 100
Wilmington, NC 28412-2366
Mailing address
4829 Carolina Beach Rd Ste 100
Wilmington, NC 28412-2366
Phone (910) 444-0020
NPI Registry JSON
{
"created_epoch": "1580256000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1587513600000",
"number": "1013548072",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4829 CAROLINA BEACH RD STE 100",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284122366",
"telephone_number": "910-444-0020"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4829 CAROLINA BEACH RD STE 100",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284122366",
"telephone_number": "910-444-0020"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HEALTHY SENIORS",
"organizational_subpart": "NO",
"enumeration_date": "2020-01-29",
"last_updated": "2020-04-22",
"certification_date": "2020-04-22",
"status": "A",
"authorized_official_last_name": "TERRY",
"authorized_official_first_name": "ROSS",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "731-845-3038",
"authorized_official_credential": "DPT"
},
"taxonomies": [
{
"code": "2251G0304X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist, Geriatrics",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wilmington, NC
- Health Sciences Foundations Inc
- Health Sciences Foundations Inc
- Health With Heart Counseling LLC
- Healthy Boundaries LLC
- Healthy Marketing LLC
- Stephanie Leigh Heaney
- Breaunna Heard
- Hearing Specialists of Dupage, P.C.
- Theresa Morgan Heath
- Heather Lanier LCSW PLLC
All providers in Wilmington, NC · Geriatric Physical Therapist in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.