Active NPI
Pediatric Physical Therapy Services, Inc
- Physical Therapist
- Wilmington, NC
National Provider Identifier
1104894948
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 5000
- Legal business name
- PEDIATRIC PHYSICAL THERAPY SERVICES, INC
- Doing business as
- PEDIATRIC THERAPY SERVICES
- Practice address
- 221 Country Place Rd
Wilmington, NC 28409-4413 - Phone
- (910) 264-6889
- Fax
- (910) 530-3007
- NPI assigned
- Mar 9, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Beth Ann Riegler, PT
- Title
- Physical Therapist/President
- Phone
- (910) 264-6889
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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 5000 | NC | Primary |
Addresses
Primary practice location
221 Country Place Rd
Wilmington, NC 28409-4413
Mailing address
221 Country Place Rd
Wilmington, NC 28409-4413
Phone (910) 264-6889
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 078H5 | Other | NC | BCBS OF NC |
Other names 1
- PEDIATRIC THERAPY SERVICES
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physical Therapist
- Wilmington, NC
- NPI 1982654026
-
- Physical Therapist
- Rock Hill, SC
- NPI 1881769644
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141862400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1699920000000",
"number": "1104894948",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "221 COUNTRY PLACE RD",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284094413",
"telephone_number": "910-264-6889",
"fax_number": "910-530-3007"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "221 COUNTRY PLACE RD",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284094413",
"telephone_number": "910-264-6889",
"fax_number": "910-530-3007"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PEDIATRIC PHYSICAL THERAPY SERVICES, INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-03-09",
"last_updated": "2023-11-14",
"certification_date": "2023-11-14",
"status": "A",
"authorized_official_last_name": "RIEGLER",
"authorized_official_first_name": "BETH",
"authorized_official_middle_name": "ANN",
"authorized_official_title_or_position": "PHYSICAL THERAPIST/PRESIDENT",
"authorized_official_telephone_number": "910-264-6889",
"authorized_official_credential": "PT"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": "NC",
"license": "5000",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF NC",
"identifier": "078H5",
"state": "NC"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "PEDIATRIC THERAPY SERVICES",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Wilmington, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.