Individual provider Active NPI

Michael Blake Parham, PT

  • Physical Therapist
  • Asheville, NC
National Provider Identifier
1245246149
Registry record updated Dec 4, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
P10299 Issued in NC
Practice address
21 Turtle Creek Dr
Asheville, NC 28803-3152
Phone
(828) 274-2188
NPI assigned
Jul 31, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2012

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 P10299 NC Primary

Addresses

Primary practice location

21 Turtle Creek Dr
Asheville, NC 28803-3152

Mailing address

21 Turtle Creek Dr
Asheville, NC 28803-3152
Phone (828) 274-2188

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060413000679 NC Practitioner - Physical Therapist in Private Practice 7618986993 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southeastern Physical Therapy, LLCGroup PAC ID 0840583407, 20 clinicians

Practice addresses (Care Compare)

19 Westridge Market PL
Candler, NC 28715-9174
Phone (828) 633-6287

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
P10299NCMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Henderson County Hospital Corporation CurrentSince Sep 1, 2020 Accepting new patients
Henderson County Hospital Corporation Physical Therapist CurrentSince Sep 1, 2020 Accepting new patients
Henderson County Hospital Corporation Current Accepting new patients

Locations

21 Turtle Creek Dr
Asheville, NC 28803
Phone (828) 274-4555

1256 Hendersonville Rd
Asheville, NC 28803
Phone (828) 412-5330

800 N Justice St
Hendersonvlle, NC 28791
Phone (828) 696-1000

45 Hendersonville Hwy
Pisgah Forest, NC 28768
Phone (828) 212-7022

Organizations & group practices 4

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": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1354579200000",
    "number": "1245246149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 TURTLE CREEK DR",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288033152",
            "telephone_number": "828-274-2188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 TURTLE CREEK DR",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288033152",
            "telephone_number": "828-274-2188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARHAM",
        "first_name": "MICHAEL",
        "middle_name": "BLAKE",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-31",
        "last_updated": "2012-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "P10299",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Asheville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2012; 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.