Individual provider Active NPI

Mary Brian Yoffe, PT

  • Physical Therapist
  • Holly Springs, NC
National Provider Identifier
1184281222
Registry record updated May 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
P18860 Issued in NC
Practice address
500 Village Walk Dr
Holly Springs, NC 27540-4440
Phone
(919) 258-2200
NPI assigned
May 23, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 23, 2019

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 P18860 NC Primary

Addresses

Primary practice location

500 Village Walk Dr
Holly Springs, NC 27540-4440

Mailing address

5 Birkdale CT
Durham, NC 27713-8154

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190814003155 NC Practitioner - Physical Therapist in Private Practice 0648507566 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Duke University School of Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pender Pelvic Health and Therapy Services, LLCGroup PAC ID 3375929722, 5 clinicians

Practice addresses (Care Compare)

16717 US Hwy 17
Suite 210
Hampstead, NC 28443-3239
Phone (910) 515-2030

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
P18860NCMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Pender Pelvic Health and Therapy Services, LLC Physical Therapist CurrentSince May 3, 2024 Accepting new patients
Zumbro and Connell, Inc Physical Therapist CurrentSince Jul 7, 2021 Accepting new patients

Locations

16717 US Highway 17
Ste 210
Hampstead, NC 28443
Phone (910) 515-2030

5710 Oleander Dr
Ste 211
Wilmington, NC 28403
Phone (910) 398-6301

Organizations & group practices 2

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": "1558569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1558569600000",
    "number": "1184281222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 BIRKDALE CT",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277138154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 VILLAGE WALK DR",
            "city": "HOLLY SPRINGS",
            "state": "NC",
            "postal_code": "275404440",
            "telephone_number": "919-258-2200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOFFE",
        "first_name": "MARY BRIAN",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-23",
        "last_updated": "2019-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "P18860",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Holly Springs, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2019; 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.