Individual provider Active NPI

Patrick Joseph McCauley, MS, DPT

  • Physical Therapist
  • Shallotte, NC
National Provider Identifier
1033260492
Registry record updated Feb 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
P11150 Issued in NC
Practice address
728 Village Rd SW
Shallotte, NC 28470-3412
Phone
(910) 755-5400
NPI assigned
Jan 14, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2024

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 P11150 NC Primary

Addresses

Primary practice location

728 Village Rd SW
Shallotte, NC 28470-3412

Mailing address

728 Village Rd SW
Shallotte, NC 28470-3412
Phone (910) 620-6769

Other practice location 1

1175 Turlington Ave Unit 103
Leland, NC 28451-6068
Phone (910) 755-5400

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100420000293 NC Practitioner - Physical Therapist in Private Practice 7719014059 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Coastal Carolina ChiropracticGroup PAC ID 5395780860, 7 clinicians

Practice addresses (Care Compare)

629 Coniston Dr
Leland, NC 28451-9755
Phone (910) 620-6769

728 Village Rd
Shallotte, NC 28470-3412
Phone (910) 755-5400

Merit-based Incentive Payment System (MIPS)

Final score
24.75 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
82.51

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Movewell Fitness & Physical Therapy, Inc Physical Therapist CurrentSince Jul 1, 2024 Accepting new patients
In Motion Physical Therapy Inc CurrentSince Mar 1, 2010 Accepting new patients
Adaptive Home Therapy, Inc. Physical Therapist PastSince Feb 27, 1996 Accepting new patients
Anil K Gupta MD PA Past Accepting new patients
Movewell Physical Therapy and Wellness LLC Physical Therapist Past Accepting new patients

Organizations & group practices 6

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": "1168732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708300800000",
    "number": "1033260492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "728 VILLAGE RD SW",
            "city": "SHALLOTTE",
            "state": "NC",
            "postal_code": "284703412",
            "telephone_number": "910-620-6769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "728 VILLAGE RD SW",
            "city": "SHALLOTTE",
            "state": "NC",
            "postal_code": "284703412",
            "telephone_number": "910-755-5400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1175 Turlington Ave Unit 103",
            "address_purpose": "LOCATION",
            "city": "Leland",
            "state": "NC",
            "postal_code": "284516068",
            "country_code": "US",
            "telephone_number": "910-755-5400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCCAULEY",
        "first_name": "PATRICK",
        "middle_name": "JOSEPH",
        "credential": "MS, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-14",
        "last_updated": "2024-02-19",
        "certification_date": "2024-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "P11150",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shallotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2024; 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.