Individual provider Active NPI

Anna Rae Porcelli, DPT

  • Physical Therapist
  • Wilmington, NC
National Provider Identifier
1114700416
Registry record updated Mar 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
P22558 Issued in NC
Practice address
167 Porters Neck Rd Ste 120
Wilmington, NC 28411-8043
Phone
(910) 821-0211
Fax
(910) 821-0222
NPI assigned
Aug 18, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2025

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 P22558 NC Primary

Addresses

Primary practice location

167 Porters Neck Rd Ste 120
Wilmington, NC 28411-8043

Mailing address

167 Porters Neck Rd Ste 120
Wilmington, NC 28411-8043
Phone (910) 821-0211

Other practice location 1

102 Autumn Hall Dr Ste 220
Wilmington, NC 28403-2057
Phone (910) 660-8018

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231213001512 NC Practitioner - Physical Therapist in Private Practice 5294184461 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

167 Porters Neck Rd
Suite 120
Wilmington, NC 28411-7601
Phone (910) 821-0211

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Physical Therapy Services of Wilmington at Porter'S Neck, LLC Physical Therapist CurrentSince Jul 28, 2025 Accepting new patients

Locations

167 Porters Neck Rd
Ste 120
Wilmington, NC 28411
Phone (910) 821-0211

102 Autumn Hall Dr
Ste 220
Wilmington, NC 28403
Phone (910) 660-8018

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.

NPI Registry JSON

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

{
    "created_epoch": "1692316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743120000000",
    "number": "1114700416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "167 PORTERS NECK RD STE 120",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284118043",
            "telephone_number": "910-821-0211",
            "fax_number": "910-821-0222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "167 PORTERS NECK RD STE 120",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284118043",
            "telephone_number": "910-821-0211",
            "fax_number": "910-821-0222"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "102 Autumn Hall Dr Ste 220",
            "address_purpose": "LOCATION",
            "city": "Wilmington",
            "state": "NC",
            "postal_code": "284032057",
            "country_code": "US",
            "telephone_number": "910-660-8018",
            "fax_number": "910-660-8078",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PORCELLI",
        "first_name": "ANNA",
        "middle_name": "RAE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-18",
        "last_updated": "2025-03-28",
        "certification_date": "2025-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "P22558",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Mar 28, 2025; 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.