Organization Active NPI

Salt & Light Physical Therapy and Wellness

  • Physical Therapy Clinic/Center
  • Wilmington, NC
National Provider Identifier
1306616545
Registry record updated Jun 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
SALT & LIGHT PHYSICAL THERAPY AND WELLNESS
Practice address
5917 Oleander Dr Ste 106
Wilmington, NC 28403-4709
Phone
(910) 970-4023
NPI assigned
Jan 8, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2025

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

Authorized official

Name
Dr. Jordan Rackley Martine, PT, DPTNPI 1346640711
Title
Owner
Phone
(252) 327-8475

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

5917 Oleander Dr Ste 106
Wilmington, NC 28403-4709

Mailing address

5813 Wrightsville Ave Apt 155
Wilmington, NC 28403-6526
Phone (252) 327-8574

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1704672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750636800000",
    "number": "1306616545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5813 WRIGHTSVILLE AVE APT 155",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284036526",
            "telephone_number": "252-327-8574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5917 OLEANDER DR STE 106",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284034709",
            "telephone_number": "910-970-4023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SALT & LIGHT PHYSICAL THERAPY AND WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-08",
        "last_updated": "2025-06-23",
        "certification_date": "2025-06-23",
        "status": "A",
        "authorized_official_last_name": "MARTINE",
        "authorized_official_first_name": "JORDAN",
        "authorized_official_middle_name": "RACKLEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "252-327-8475",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 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.