Active NPI
Dawn Loomis, PT
- Physical Therapist
- Durham, NC
National Provider Identifier
1295049633
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- P12742
- Practice address
- 4214 North Roxboro St
#100
Durham, NC 27704-1826 - Phone
- (919) 479-9001
- Fax
- (919) 479-9003
- NPI assigned
- Jul 27, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | P12742 | NC | Primary |
Addresses
Primary practice location
4214 North Roxboro St
#100
Durham, NC 27704-1826
Mailing address
4214 North Roxboro St
#100
Durham, NC 27704-1826
Phone (919) 479-9001
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12742 | NC | MD | Mental Health Counselor |
| P12742 | NC | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1280188800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1300406400000",
"number": "1295049633",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4214 NORTH ROXBORO ST",
"address_2": "#100",
"city": "DURHAM",
"state": "NC",
"postal_code": "277041826",
"telephone_number": "919-479-9001",
"fax_number": "919-479-9003"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4214 NORTH ROXBORO ST",
"address_2": "#100",
"city": "DURHAM",
"state": "NC",
"postal_code": "277041826",
"telephone_number": "919-479-9001",
"fax_number": "919-479-9003"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOOMIS",
"first_name": "DAWN",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-07-27",
"last_updated": "2011-03-18",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NC",
"license": "P12742",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Durham, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.