Individual provider Active NPI

Mary Francis Stoker, DPT

  • Physical Therapist
  • Southport, NC
National Provider Identifier
1295828093
Registry record updated Apr 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
P9351 Issued in NC
Practice address
3260 Oceanic Bay Dr
Southport, NC 28461-6401
Phone
(910) 393-9749
Fax
(910) 250-1244
NPI assigned
Oct 2, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 2060 SC
Physical Therapist 225100000X P9351 NC Primary

Addresses

Primary practice location

3260 Oceanic Bay Dr
Southport, NC 28461-6401

Mailing address

3260 Oceanic Bay Dr
Southport, NC 28461-6401
Phone (910) 393-9749

Other practice location 1

313 NE 46th St
Oak Island, NC 28465-5340
Phone (910) 471-3958

Other identifiers 1

IdentifierTypeStateIssuer
711904MedicaidNC

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050606000554 NC Practitioner - Physical Therapist in Private Practice 8820031479 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2060SCMDOptometrist
P9351NCMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Carolina Rehabilitation Inc Physical Medicine & Rehabilitation CurrentSince Aug 1, 2004 Accepting new patients
Integrated Pediatric Therapies Physical Medicine & Rehabilitation CurrentSince Apr 20, 2025 Accepting new patients
Thomas Speech Therapy Services PLLC CurrentSince May 2, 2020 Accepting new patients

Locations

121 W Main St
Beulaville, NC 28518
Phone (910) 298-6455

4501 Main St
Ste 5
Shallotte, NC 28470
Phone (910) 612-1002

20 Medical Campus Dr NW
Ste 204
Supply, NC 28462
Phone (910) 612-1002

312 E Southerland St
Wallace, NC 28466
Phone (910) 275-0121

Organizations & group practices 3

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": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744848000000",
    "number": "1295828093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3260 OCEANIC BAY DR",
            "city": "SOUTHPORT",
            "state": "NC",
            "postal_code": "284616401",
            "telephone_number": "910-393-9749",
            "fax_number": "910-250-1244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3260 OCEANIC BAY DR",
            "city": "SOUTHPORT",
            "state": "NC",
            "postal_code": "284616401",
            "telephone_number": "910-393-9749",
            "fax_number": "910-250-1244"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "313 NE 46th St",
            "address_purpose": "LOCATION",
            "city": "Oak Island",
            "state": "NC",
            "postal_code": "284655340",
            "country_code": "US",
            "telephone_number": "910-471-3958",
            "fax_number": "910-250-1244",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STOKER",
        "first_name": "MARY",
        "middle_name": "FRANCIS",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-02",
        "last_updated": "2025-04-17",
        "certification_date": "2025-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": "2060",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "P9351",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "711904",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Southport, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.