Theodore William Homol III, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

P21412 Issued in NC

Practice address

4275 School House CMNS
Harrisburg, NC 28075-7503

Phone

(980) 326-1800

NPI assigned

Sep 14, 2021

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NC, SC2 enrollments

Enrollment records 2

Specialty

Physical Therapist in Private Practice

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Benchmark Physical Therapy of North Carolina, LLCGroup PAC ID 1052609278, 242 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Benchmark Physical Therapy of North Carolina LLC

  • Physical Therapist
  • Ooltewah, TN
  • NPI 1356894604

  NC

  Medicare reassignment Care Compare group NPD
• Drayer Physical Therapy of North Carolina LLC

  • Physical Therapist
  • Raleigh, NC
  • NPI 1740605096
  Medicare reassignment NPD
• Physical Therapy and Hand Specialists, LLC

  • Physical Therapist
  • Greensboro, NC
  • NPI 1518382357
  Medicare reassignment NPD
• Proactive Therapy of North Carolina Inc

  dba NovaCare Rehabilitation

  • Physical Therapy Clinic/Center
  • Charlotte, NC
  • NPI 1568468502
  Medicare reassignment NPD
• Agilitas USA Inc

  dba Results Physiotherapy

  • Physical Therapy Clinic/Center
  • Hixson, TN
  • NPI 1962417444

  NC, Physical Therapist

  Medicare reassignment NPD
• Benchmark Healthcare Services, LLC

  • Physical Therapist
  • Ooltewah, TN
  • NPI 1811213341

  SC

  Medicare reassignment NPD
• Benchmark Physical Therapy of NC, LLC

  • Physical Therapist
  • Leland, NC
  • NPI 1588189112
  NPD
• Physical Therapy and Hand Specialist, LLC

  • Physical Therapy Clinic/Center
  • Reidsville, NC
  • NPI 1205251964
  NPD
• Agilitas USA, Inc

  dba Results Physiotherapy

  • Physical Therapy Clinic/Center
  • Chattanooga, TN
  • NPI 1518695436

  Physical Therapist

  NPD
• Benchmark Health Services

  • Physical Therapist
  • Easley, SC
  • NPI 1457842643
  NPD
• Benchmark Health Services, LLC

  • Physical Therapist
  • Rock Hill, SC
  • NPI 1245636323
  NPD (past)

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

{
    "created_epoch": "1631577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731456000000",
    "number": "1205506912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 CORPORATE DR STE 400",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352425424",
            "telephone_number": "423-238-7217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4275 SCHOOL HOUSE CMNS",
            "city": "HARRISBURG",
            "state": "NC",
            "postal_code": "280757503",
            "telephone_number": "980-326-1800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "757 Frederick Rd Ste 103",
            "address_purpose": "LOCATION",
            "city": "Catonsville",
            "state": "MD",
            "postal_code": "212284520",
            "country_code": "US",
            "telephone_number": "410-719-8661",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "326 Chapel Rd",
            "address_purpose": "LOCATION",
            "city": "Aliquippa",
            "state": "PA",
            "postal_code": "150011628",
            "country_code": "US",
            "telephone_number": "724-777-9633",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1525 Celanese Rd Ste 113",
            "address_purpose": "LOCATION",
            "city": "Rock Hill",
            "state": "SC",
            "postal_code": "297321757",
            "country_code": "US",
            "telephone_number": "803-366-8243",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOMOL",
        "first_name": "THEODORE",
        "middle_name": "WILLIAM",
        "name_suffix": "III",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-09-14",
        "last_updated": "2024-11-13",
        "certification_date": "2024-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "28688",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "P21412",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": "10839",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICAL THERAPY LICENSE",
            "identifier": "10839",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Helen Marie Herzig, CD
• Mariclaire Hicks, LCMHCA
• Courtney Denson Hogan, OTR/L
• Sara Holland, OTR/L
• Taylor Holmes, FNP
• Amy S Horne, LCMHC, CIMHP, CIMNTT
• Taylor Hudson, PT
• Hutchison House
• Sun Hee Hwang, DDS
• David A Hysell, PT

• Physical Therapist in Harrisburg, NC
• Providers in Harrisburg, 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 Nov 13, 2024; 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.