Organization Active NPI

Pediatric Physical Therapy Services, Inc

  • Physical Therapist
  • Wilmington, NC
National Provider Identifier
1104894948
Registry record updated Nov 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5000 Issued in NC
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

Updated by the provider on Nov 14, 2023

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

Authorized official

Name
Beth Ann Riegler, PTNPI 1982654026
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)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
078H5OtherNCBCBS OF NC

Other names 1

  • PEDIATRIC THERAPY SERVICES Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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.

Verify at the official NPI Registry.