Active NPI
Salt & Light Physical Therapy and Wellness
- Physical Therapy Clinic/Center
- Wilmington, NC
National Provider Identifier
1306616545
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Jordan Rackley Martine, PT, DPT
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physical Therapist
- Wilmington, NC
- NPI 1346640711
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.