Organization Active NPI

Pender Pelvic Health and Therapy Services, LLC

  • Physical Therapy Clinic/Center
  • Hampstead, NC
National Provider Identifier
1235713074
Registry record updated Jun 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
PENDER PELVIC HEALTH AND THERAPY SERVICES, LLC
Practice address
16717 US Highway 17 Ste 210
Hampstead, NC 28443-3239
Phone
(910) 515-2030
Fax
(910) 756-4503
NPI assigned
May 7, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2024

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

Authorized official

Name
Amanda Knauff, DPTNPI 1871802496
Title
Owner/Physical Therapist
Phone
(910) 515-2030

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

16717 US Highway 17 Ste 210
Hampstead, NC 28443-3239

Mailing address

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

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20221007002086 NC Part B Supplier - Physical/Occupational Therapy Group in Private Practice 3375929722 Receives reassigned benefits from 5 practitioners
Practice locations: Hampstead, NC

National Provider Directory

National Provider Directory

Locations

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

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1620345600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717891200000",
    "number": "1235713074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16717 US HIGHWAY 17 STE 210",
            "city": "HAMPSTEAD",
            "state": "NC",
            "postal_code": "284433239",
            "telephone_number": "910-515-2030",
            "fax_number": "910-756-4503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16717 US HIGHWAY 17 STE 210",
            "city": "HAMPSTEAD",
            "state": "NC",
            "postal_code": "284433239",
            "telephone_number": "910-515-2030",
            "fax_number": "910-756-4503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PENDER PELVIC HEALTH AND THERAPY SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-07",
        "last_updated": "2024-06-09",
        "certification_date": "2024-06-09",
        "status": "A",
        "authorized_official_last_name": "KNAUFF",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_title_or_position": "OWNER/PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "910-515-2030",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hampstead, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.