Organization Active NPI

Comprehensive Physical Therapy Center, Inc.

  • Physical Therapist
  • Chapel Hill, NC
National Provider Identifier
1033123302
Registry record updated Aug 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
COMPREHENSIVE PHYSICAL THERAPY CENTER, INC.
Practice address
1526 E Franklin St Ste 101
Chapel Hill, NC 27514-2821
Phone
(919) 967-5959
Fax
(919) 968-1478
NPI assigned
Jul 29, 2006
Last updated
Aug 6, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2021

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

Authorized official

Name
Mark A Watson
Title
Owner
Phone
(336) 582-0244

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X Primary

Addresses

Primary practice location

1526 E Franklin St Ste 101
Chapel Hill, NC 27514-2821

Mailing address

1526 E Franklin St Ste 101
Chapel Hill, NC 27514-2821
Phone (919) 967-5959

Other practice location 1

8320 Litchford Rd Ste 140
Raleigh, NC 27615-3860
Phone (919) 594-1030

Other identifiers 1

IdentifierTypeStateIssuer
7200046MedicaidNC

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040110000160 NC Part B Supplier - Clinic/Group Practice 5294635884 Receives reassigned benefits from 2 practitioners
Practice locations: Chapel Hill, NC

National Provider Directory

National Provider Directory
Tax ID family
Comprehensive Physical Therapy Center Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1526 E Franklin St
Ste 101
Chapel Hill, NC 27514
Phone (919) 967-5959

8320 Litchford Rd
Ste 140
Raleigh, NC 27615
Phone (919) 594-1030

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1154131200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1628208000000",
    "number": "1033123302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1526 E FRANKLIN ST STE 101",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275142821",
            "telephone_number": "919-967-5959",
            "fax_number": "919-968-1478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1526 E FRANKLIN ST STE 101",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275142821",
            "telephone_number": "919-967-5959",
            "fax_number": "919-968-1478"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8320 Litchford Rd Ste 140",
            "address_purpose": "LOCATION",
            "city": "Raleigh",
            "state": "NC",
            "postal_code": "276153860",
            "country_code": "US",
            "telephone_number": "919-594-1030",
            "fax_number": "919-594-1022",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "COMPREHENSIVE PHYSICAL THERAPY CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-29",
        "last_updated": "2021-08-06",
        "certification_date": "2021-08-06",
        "status": "A",
        "authorized_official_last_name": "WATSON",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "336-582-0244"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7200046",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chapel Hill, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.