Grant Bishop, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

P19706 Issued in NC

Practice address

812 Pinckney St
Whiteville, NC 28472-3308

Phone

(910) 207-6696

NPI assigned

Aug 10, 2020

Last updated

Aug 10, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Change the Game Performance Therapy IncGroup PAC ID 6406380203, 6 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.

• Change the Game Performance Therapy, Inc.

  • Physical Therapy Clinic/Center
  • Wilmington, NC
  • NPI 1659141703

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• Micah Gregory Merritt

  dba Renew Health and Physical Therapy

  • Physical Therapist
  • Whiteville, NC
  • NPI 1912439464
  NPD (past)

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

{
    "created_epoch": "1597017600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597017600000",
    "number": "1245841725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "812 PINCKNEY ST",
            "city": "WHITEVILLE",
            "state": "NC",
            "postal_code": "284723308",
            "telephone_number": "910-207-6696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "812 PINCKNEY ST",
            "city": "WHITEVILLE",
            "state": "NC",
            "postal_code": "284723308",
            "telephone_number": "910-207-6696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BISHOP",
        "first_name": "GRANT",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-08-10",
        "last_updated": "2020-08-10",
        "certification_date": "2020-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "P19706",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rene Bermudez, DO
• Devoria Keaton Berry
• Richard Garth Berry, MD, FACP, FACGS
• Better Primary Care and Wellness
• Elizabeth Erin Bickell, PA-C
• Courtney Briann Blackledge, LCMHCA
• Tonia Blackwell, FNP
• Viola Elizabeth Blackwell, FNP-C
• Bladen Healthcare LLC (CFV Primary Care-Vineland Family Medicine)
• Tavares Bostic, LCSW

• Physical Therapist in Whiteville, NC
• Providers in Whiteville, 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 Aug 10, 2020; 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.