NPIMap

Organization Active NPI

Physical Therapy for Women, Inc

  • Specialist
  • Wilmington, NC
National Provider Identifier
1144406539
Registry record updated Feb 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
4865 Issued in NC
Legal business name
PHYSICAL THERAPY FOR WOMEN, INC
Practice address
1630 Military Cutoff Rd Ste 110
Wilmington, NC 28403-5719
Phone
(910) 798-2318
Fax
(910) 798-2319
NPI assigned
Jan 15, 2008
Last updated
Feb 27, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2020

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

Authorized official

Name
Mrs. Jennifer R Shepherd, PTNPI 1174660054
Title
Owner/Physical Therapist
Phone
(910) 798-2318

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
Specialist 174400000X 4865 NC Primary

Addresses

Primary practice location

1630 Military Cutoff Rd Ste 110
Wilmington, NC 28403-5719

Mailing address

5919 Oleander Dr
Suite 123
Wilmington, NC 28403-4780
Phone (910) 798-2318

Other identifiers 3

IdentifierTypeStateIssuer
2320258OtherNCHUMANA
7211054MedicaidNC
017WJOtherNCBLUE CROSS BLUE SHIELD

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL www.Ptforwomen.com

National Provider Directory

National Provider Directory

Locations

5919 Oleander Dr
Ste 123
Wilmington, NC 28403
Phone (910) 798-2318

Practitioners & affiliated clinicians

Practitioners 22

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 22

NPI Registry JSON

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

{
    "created_epoch": "1200355200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1582761600000",
    "number": "1144406539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5919 OLEANDER DR",
            "address_2": "SUITE 123",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284034780",
            "telephone_number": "910-798-2318",
            "fax_number": "910-798-2319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1630 MILITARY CUTOFF RD STE 110",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284035719",
            "telephone_number": "910-798-2318",
            "fax_number": "910-798-2319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICAL THERAPY FOR WOMEN, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-15",
        "last_updated": "2020-02-27",
        "certification_date": "2020-02-27",
        "status": "A",
        "authorized_official_last_name": "SHEPHERD",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER/PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "910-798-2318",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NC",
            "license": "4865",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA",
            "identifier": "2320258",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7211054",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "017WJ",
            "state": "NC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.Ptforwomen.com",
            "affiliation": "N",
            "endpointDescription": "website",
            "address_1": "1630 Military Cutoff Rd Ste 110",
            "city": "Wilmington",
            "state": "NC",
            "country_code": "US",
            "postal_code": "284035719",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Feb 27, 2020; 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.