NPIMap

Organization Active NPI

Healthkeeperz Outpatient Physical Rehab.

  • Speech-Language Pathologist
  • Pembroke, NC
National Provider Identifier
1114981800
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
6132 Issued in NC
Legal business name
HEALTHKEEPERZ OUTPATIENT PHYSICAL REHAB.
Practice address
209 W 3Rd St
Pembroke, NC 28372-8768
Phone
(910) 522-1016
Fax
(910) 521-4722
NPI assigned
Apr 12, 2006
Last updated
Sep 11, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Mrs. Debbie H. Chavis, BSPT
Title
Program Director
Phone
(910) 522-1016

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 1709 NC
Physical Therapist 225100000X 1903 NC
Physical Therapist 225100000X 2053 NC
Occupational Therapist 225X00000X 5002 NC
Speech-Language Pathologist 235Z00000X 6141 NC
Speech-Language Pathologist 235Z00000X 6132 NC Primary

Addresses

Primary practice location

209 W 3Rd St
Pembroke, NC 28372-8768

Mailing address

PO Box 1030
Pembroke, NC 28372-1030
Phone (910) 522-1016

Other identifiers 3

IdentifierTypeStateIssuer
017KCOtherNCBLUE CROSS BLUE SHIELD
5673158OtherNCFIRST HEALTH
7211898MedicaidNC

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1144800000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1114981800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1030",
            "city": "PEMBROKE",
            "state": "NC",
            "postal_code": "283721030",
            "telephone_number": "910-522-1016",
            "fax_number": "910-521-4722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 W 3RD ST",
            "city": "PEMBROKE",
            "state": "NC",
            "postal_code": "283728768",
            "telephone_number": "910-522-1016",
            "fax_number": "910-521-4722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHKEEPERZ OUTPATIENT PHYSICAL REHAB.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-12",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "CHAVIS",
        "authorized_official_first_name": "DEBBIE",
        "authorized_official_middle_name": "H.",
        "authorized_official_title_or_position": "PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "910-522-1016",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "BSPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "1709",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "1903",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "2053",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NC",
            "license": "5002",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NC",
            "license": "6141",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NC",
            "license": "6132",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "017KC",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST HEALTH",
            "identifier": "5673158",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7211898",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pembroke, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.