Active NPI
Brandon Roy
- Physical Therapist
- Boiling Springs, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- P21449
- Practice address
- 2752 Boiling Springs Rd
Boiling Springs, SC 29316-6003 - Phone
- (864) 210-9658
- NPI assigned
- Jul 20, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | |||
| Physical Therapist | 225100000X | P21449 | NC | Primary |
Addresses
Primary practice location
2752 Boiling Springs Rd
Boiling Springs, SC 29316-6003
Mailing address
506 Mapletree Dr
Knoxville, TN 37934-0835
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1018 Lake Park Blvd N
Suite 103
Carolina Beach, NC 28428-4162
Phone (910) 636-3457
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P21449 | NC | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Benchmark Physical Therapy of NC, LLC | Physical Therapist | Current | Accepting new patients |
| Benchmark Physical Therapy of North Carolina LLC | Physical Therapist | Current | Accepting new patients |
Locations
1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568
1018 Lake Park Blvd N
Ste 103
Carolina Beach, NC 28428
Phone (910) 636-3457
10020 Monroe Rd
Ste 160
Matthews, NC 28105
Phone (704) 841-0894
5619 Carolina Beach Rd
Ste 120
Wilmington, NC 28412
Phone (910) 790-1976
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.
-
- Physical Therapist
- Leland, NC
- NPI 1588189112
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1626739200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1740096000000",
"number": "1295308153",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "506 MAPLETREE DR",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379340835"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2752 BOILING SPRINGS RD",
"city": "BOILING SPRINGS",
"state": "SC",
"postal_code": "293166003",
"telephone_number": "864-210-9658"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROY",
"first_name": "BRANDON",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-07-20",
"last_updated": "2025-02-21",
"certification_date": "2025-02-21",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NC",
"license": "P21449",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Boiling Springs, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2025; 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.