Individual provider Active NPI

Carol M Maupin-Wheelock, PT,MBA,CERT. MDT

  • Physical Therapist
  • Johnson City, TN
National Provider Identifier
1265551287
Registry record updated Jun 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT0000001152 Issued in TN
Practice address
2 Northridge Cir
Johnson City, TN 37604-3066
Phone
(423) 434-6397
NPI assigned
Mar 29, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2025

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 PT0000001152 TN Primary

Addresses

Primary practice location

2 Northridge Cir
Johnson City, TN 37604-3066

Mailing address

2 Northridge Cir
Johnson City, TN 37604-3066

Other practice location 1

103 W Stone Dr
Kingsport, TN 37660-3220
Phone (423) 224-5751

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Business Administration

State licenses

LicenseStateTypeSpecialty
PT0000001152TNMDPhysical Therapist
1152TNMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
State of Franklin Healthcare Associates PLLC CurrentSince Jul 1, 2022 Accepting new patients
State of Franklin Healthcare Associates PLLC PastSince Aug 18, 2019 Accepting new patients

Locations

301 Med Tech Pkwy
Johnson City, TN 37604
Phone (423) 302-6239

301 Med Tech Pkwy
Ste 115
Johnson City, TN 37604
Phone (423) 794-1300

215 E Springbrook Dr
Johnson City, TN 37601
Phone (423) 530-7900

313 Princeton Rd
Ste 3
Johnson City, TN 37601
Phone (423) 282-4819

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/24871/brand/1/csg/1/fhir/r4

Organizations & group practices 2

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": "1175126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748995200000",
    "number": "1265551287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 NORTHRIDGE CIR",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376043066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 NORTHRIDGE CIR",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376043066",
            "telephone_number": "423-434-6397"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "103 W Stone Dr",
            "address_purpose": "LOCATION",
            "city": "Kingsport",
            "state": "TN",
            "postal_code": "376603220",
            "country_code": "US",
            "telephone_number": "423-224-5751",
            "fax_number": "423-224-5776",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAUPIN-WHEELOCK",
        "first_name": "CAROL",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "PT,MBA,CERT. MDT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-29",
        "last_updated": "2025-06-04",
        "certification_date": "2025-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": "PT0000001152",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Johnson City, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.