Active NPI
Maegan Smith, DPT
- Physical Therapist
- Havelock, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 13129
- Practice address
- 1202 E Main St
Havelock, NC 28532-2405 - Phone
- (252) 447-4001
- Fax
- (252) 447-4005
- NPI assigned
- Jun 1, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 13129 | NC | Primary |
Addresses
Primary practice location
1202 E Main St
Havelock, NC 28532-2405
Mailing address
625 Kenmoor Ave SE Ste 100
Grand Rapids, MI 49546-2395
Phone (616) 356-5000
Other names 1
- Maegan Barry
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
656 W Corbett Ave
Swansboro, NC 28584-8450
Phone (910) 550-2515
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13129 | NC | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Peak Performance Sports and Physical Therapy, LLC | Physical Therapist | Current | Accepting new patients |
Locations
625 Kenmoor Ave SE
Ste 100
Grand Rapids, MI 49546
1202 E Main St
Havelock, NC 28532
Phone (252) 447-4001
122 Branchwood Shopping Ctr
Jacksonville, NC 28546
Phone (910) 938-7555
2009 Neuse Blvd
New Bern, NC 28560
Phone (252) 636-9800
656 W Corbett Ave
Swansboro, NC 28584
Phone (910) 326-3050
Interoperability endpoints
- maegan.barry@hca7.eclinicaldirectplus.com
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.
-
- Physical Therapist
- New Bern, NC
- NPI 1194714063
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1306886400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1674000000000",
"number": "1114211778",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "625 KENMOOR AVE SE STE 100",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495462395",
"telephone_number": "616-356-5000",
"fax_number": "616-356-5001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1202 E MAIN ST",
"city": "HAVELOCK",
"state": "NC",
"postal_code": "285322405",
"telephone_number": "252-447-4001",
"fax_number": "252-447-4005"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "MAEGAN",
"credential": "DPT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-06-01",
"last_updated": "2023-01-18",
"certification_date": "2023-01-18",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NC",
"license": "13129",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MAEGAN",
"last_name": "BARRY",
"credential": "DPT",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Havelock, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2023; 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.