Individual provider Active NPI

Payton Nicole Medich, DPT

  • Physical Therapist
  • Winston Salem, NC
National Provider Identifier
1033060082
Registry record updated Feb 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
P24688 Issued in NC
Practice address
1396 Westgate Center Dr Ste B
Winston Salem, NC 27103-2932
Phone
(336) 331-3277
Fax
(336) 331-3279
NPI assigned
Feb 5, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2026

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 P24688 NC Primary

Addresses

Primary practice location

1396 Westgate Center Dr Ste B
Winston Salem, NC 27103-2932

Mailing address

1396 Westgate Center Dr Ste B
Winston Salem, NC 27103-2932
Phone (336) 331-3277

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260320002813 NC Practitioner - Physical Therapist in Private Practice 1153805791 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Chandler Physical Therapy and Sports Rehab LLCGroup PAC ID 8628261583, 8 clinicians

Practice addresses (Care Compare)

1396 B Westgate Ctr Dr
Winston Salem, NC 27103-2932
Phone (336) 331-3277

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
P24688NCMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Chandler Physical Therapy & Sports Rehab, LLC CurrentSince Feb 7, 2026 Accepting new patients

Locations

1396B Westgate Center Dr
Winston Salem, NC 27103
Phone (336) 331-3277

1396 Westgate Center Dr
#B
Winston Salem, NC 27103
Phone (336) 245-2670

Organizations & group practices 1

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": "1770249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770940800000",
    "number": "1033060082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1396 WESTGATE CENTER DR STE B",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271032932",
            "telephone_number": "336-331-3277",
            "fax_number": "336-331-3279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1396 WESTGATE CENTER DR STE B",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271032932",
            "telephone_number": "336-331-3277",
            "fax_number": "336-331-3279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEDICH",
        "first_name": "PAYTON",
        "middle_name": "NICOLE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-02-05",
        "last_updated": "2026-02-13",
        "certification_date": "2026-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "P24688",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winston Salem, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2026; 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.