Idelle S Packer, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

P8032 Issued in NC

Practice address

70 Woodfin PL
WW7
Asheville, NC 28801

Phone

(828) 329-7761

Fax

(828) 687-0407

NPI assigned

Aug 12, 2005

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

HalfordGroup PAC ID 5698022994, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Halford

  dba Front Porch Physical Therapy

  • Physical Therapist
  • Black Mountain, NC
  • NPI 1750885349
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1123804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571270400000",
    "number": "1194727776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "146 MERRILLS CHASE",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288038701",
            "telephone_number": "828-329-7761",
            "fax_number": "828-687-0407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 WOODFIN PL",
            "address_2": "WW7",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "28801",
            "telephone_number": "828-329-7761",
            "fax_number": "828-687-0407"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "113 Richardson Blvd",
            "address_purpose": "LOCATION",
            "city": "Black Mountain",
            "state": "NC",
            "postal_code": "287113526",
            "country_code": "US",
            "telephone_number": "828-712-1340",
            "fax_number": "844-262-1962",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PACKER",
        "first_name": "IDELLE",
        "middle_name": "S",
        "name_prefix": "Ms.",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-08-12",
        "last_updated": "2019-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "P8032",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bryan J Pace, D.O.
• Cristina Nathaly Pace, FNP
• Kelly Nicole Pace
• David Andrew Pacholke, M.D.
• Jonathan Pack, LCMHC
• Qendresa Pacolli, LCMHCA
• Sarah Melinda Pacosa, PHARMD
• Hayes Paden, LCMHC
• Breana Padgett
• Cassidy Dee Padgett, CRNA

• Physical Therapist in Asheville, NC
• Providers in Asheville, NC by specialty
• Physical Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 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.