Individual provider Active NPI

Donald Dean Dowdy Jr., PHYSICAL THERAPIST

  • Orthopedic Physical Therapist
  • Moyock, NC
National Provider Identifier
1144377227
Registry record updated Aug 25, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
8414 Issued in NC
Practice address
532 C Caratoke Highway
Moyock, NC 27958
Phone
(252) 435-6046
Fax
(252) 435-6210
NPI assigned
Jan 4, 2007
Last updated
Aug 25, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X 8414 NC Primary

Addresses

Primary practice location

532 C Caratoke Highway
Moyock, NC 27958

Mailing address

101 Medical Dr
Elizabeth City, NC 27909
Phone (252) 338-2114

Other identifiers 2

IdentifierTypeStateIssuer
078CFOtherNCBCBS
7210910MedicaidNC

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100222000542 NC Practitioner - Physical Therapist in Private Practice 4789774696 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Coastal Rehabilitation IncGroup PAC ID 9537071535, 17 clinicians

Practice addresses (Care Compare)

101 Medical Dr
Elizabeth City, NC 27909-3361
Phone (252) 338-2114

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Coastal Rehabilitation Inc CurrentSince Nov 1, 2007 Accepting new patients
Coastal Rehabilitation Inc CurrentSince Sep 25, 2022 Accepting new patients
Coastal Rehabilitation Inc Past Accepting new patients
Coastal Rehabilitation Inc PastSince Nov 1, 2007 Accepting new patients

Locations

101 Medical Dr
Elizabeth Cty, NC 27909
Phone (252) 338-2114

5585 N Croatan Hwy
Kitty Hawk, NC 27949
Phone (252) 261-1556

503 Cypress Ln
#A
Manteo, NC 27954
Phone (252) 338-2114

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1167868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1408924800000",
    "number": "1144377227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 MEDICAL DR",
            "city": "ELIZABETH CITY",
            "state": "NC",
            "postal_code": "27909",
            "telephone_number": "252-338-2114",
            "fax_number": "252-338-2115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "532 C CARATOKE HIGHWAY",
            "city": "MOYOCK",
            "state": "NC",
            "postal_code": "27958",
            "telephone_number": "252-435-6046",
            "fax_number": "252-435-6210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOWDY",
        "first_name": "DONALD",
        "middle_name": "DEAN",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "PHYSICAL THERAPIST",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-04",
        "last_updated": "2014-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "NC",
            "license": "8414",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "078CF",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7210910",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Moyock, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2014; 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.