Individual provider Active NPI

Nathaniel Lee Thompson, PT, DPT, MBA

  • Physical Therapist
  • Leland, NC
National Provider Identifier
1144786633
Registry record updated Jul 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
P18602 Issued in NC
Practice address
1168 E Cutlar Xing Ste 201
Leland, NC 28451-6485
Phone
(910) 332-3800
Fax
(910) 251-0421
NPI assigned
Feb 20, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2026

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 P18602 NC Primary

Addresses

Primary practice location

1168 E Cutlar Xing Ste 201
Leland, NC 28451-6485

Mailing address

PO Box 5105
Belfast, ME 04915-5100
Phone (919) 220-5255

Other practice location 1

2049 Corporate Dr
Wilmington, NC 28405-7401
Phone (910) 218-8108

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190404002594 NC Practitioner - Physical Therapist in Private Practice 4183965932 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1396 B Westgate Ctr Dr
Winston Salem, NC 27103-0000

1396 B Westgate Ctr Dr
Winston Salem, NC 27103-2932

570 New Waverly PL
Suite 120
Cary, NC 27518-7405

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Business Administration

State licenses

LicenseStateTypeSpecialty
18602NCMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
North Carolina Institute of Sports Biomechanics, LLC CurrentSince Dec 15, 2021 Accepting new patients
Evolab Physical Therapy LLC Physical Therapist CurrentSince Aug 17, 2025 Accepting new patients
Emergeortho PA Past Accepting new patients
Emergeortho PA Physical Medicine & Rehabilitation Past Accepting new patients

Locations

2121 E Williams St
Ste 108
Apex, NC 27539
Phone (919) 372-8412

2209 Associate Dr
Raleigh, NC 27603
Phone (919) 322-0049

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1550620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784419200000",
    "number": "1144786633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5105",
            "city": "BELFAST",
            "state": "ME",
            "postal_code": "049155100",
            "telephone_number": "919-220-5255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1168 E CUTLAR XING STE 201",
            "city": "LELAND",
            "state": "NC",
            "postal_code": "284516485",
            "telephone_number": "910-332-3800",
            "fax_number": "910-251-0421"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2049 Corporate Dr",
            "address_purpose": "LOCATION",
            "city": "Wilmington",
            "state": "NC",
            "postal_code": "284057401",
            "country_code": "US",
            "telephone_number": "910-218-8108",
            "fax_number": "910-319-9194",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "NATHANIEL",
        "middle_name": "LEE",
        "credential": "PT, DPT, MBA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-02-20",
        "last_updated": "2026-07-19",
        "certification_date": "2026-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "P18602",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Leland, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2026; 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.