Niles Fleet, DPT, PT, SCS, ATC

Primary specialty

Sports Physical TherapistTaxonomy code 2251S0007X

License

P13893 Issued in NC

Practice address

Wingate Rd.
Reynolds Gymnasium Room 106
Winston Salem, NC 27106

Phone

(336) 758-5620

NPI assigned

Aug 6, 2014

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1407283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1407283200000",
    "number": "1154730992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7329",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271096231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "WINGATE RD.",
            "address_2": "REYNOLDS GYMNASIUM ROOM 106",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "27106",
            "telephone_number": "336-758-5620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLEET",
        "first_name": "NILES",
        "name_prefix": "Dr.",
        "credential": "DPT, PT, SCS, ATC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-08-06",
        "last_updated": "2014-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251S0007X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Sports",
            "state": "NC",
            "license": "P13893",
            "primary": true
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "NC",
            "license": "LAT-2086",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Teresa Flake
• Laura Anne Flashman, PHD
• Flavorfuel, LLC
• Bree Tharpe Fleck, NURSE PRACTITIONER
• Courtney Fleet, PT, DPT
• Anna Kathleen Fleig
• Aliza Fleming, CADC-II
• Brianna Ciara Fleming
• Candace Fleming, LMBT
• Charlene McCain Fleming, MD

• Sports Physical Therapist in Winston Salem, NC
• Providers in Winston Salem, NC by specialty
• Sports Physical Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2014; 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.