Individual provider Active NPI

Samuel Julian Mackie

  • Physical Therapist
  • Winston Salem, NC
National Provider Identifier
1255283131
Registry record updated Feb 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
P24701 Issued in NC
Practice address
1262 S Stratford Rd
Winston Salem, NC 27103-3016
Phone
(336) 369-1151
NPI assigned
Feb 12, 2026
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2026

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 P24701 NC Primary

Addresses

Primary practice location

1262 S Stratford Rd
Winston Salem, NC 27103-3016

Mailing address

1200 Corporate Dr Ste 400
Hoover, AL 35242-5424
Phone (423) 238-7217

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260219002673 NC Practitioner - Physical Therapist in Private Practice 1254812050 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1262 S Stratford Rd
Winston Salem, NC 27103-3016
Phone (336) 369-1151

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
P24701NCMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Agilitas USA, Inc Physical Therapist CurrentSince Feb 13, 2026 Accepting new patients
Agilitas USA Inc Physical Therapist CurrentSince Feb 13, 2026 Accepting new patients
Physical Therapy and Hand Specialist, LLC CurrentSince Feb 13, 2026 Accepting new patients
Benchmark Physical Therapy of NC, LLC Physical Therapist CurrentSince Feb 13, 2026 Accepting new patients
Drayer Physical Therapy of North Carolina LLC Physical Therapist CurrentSince Feb 13, 2026 Accepting new patients
Physical Therapy and Hand Specialists, LLC Physical Therapist CurrentSince Feb 13, 2026 Accepting new patients
Benchmark Physical Therapy of North Carolina LLC Physical Therapist CurrentSince Feb 13, 2026 Accepting new patients

Locations

1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568

610 N Fayetteville St
Ste 101
Asheboro, NC 27203
Phone (336) 633-4263

207 E Meadow Rd
Ste 3
Eden, NC 27288
Phone (336) 627-3771

10020 Monroe Rd
Ste 160
Matthews, NC 28105
Phone (704) 841-0894

1901 NW Cary Pkwy
Ste 110
Morrisville, NC 27560
Phone (919) 678-1525

1520 Sunday Dr
Ste 105
Raleigh, NC 27607
Phone (919) 420-1682

1262 S Stratford Rd
Winston Salem, NC 27103
Phone (336) 369-1151

Organizations & group practices 7

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": "1770854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770854400000",
    "number": "1255283131",
    "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": "1262 S STRATFORD RD",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271033016",
            "telephone_number": "336-369-1151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACKIE",
        "first_name": "SAMUEL",
        "middle_name": "JULIAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-02-12",
        "last_updated": "2026-02-12",
        "certification_date": "2026-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "P24701",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winston Salem, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2026; 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.