Individual provider Active NPI

Derek Langston

  • Physical Therapist
  • Chapel Hill, NC
National Provider Identifier
1326412461
Registry record updated Nov 29, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
P13971 Issued in NC
Practice address
102 Mason Farm Rd
Chapel Hill, NC 27599-6134
Phone
(919) 966-7400
NPI assigned
Nov 29, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X P13971 NC Primary

Addresses

Primary practice location

102 Mason Farm Rd
Chapel Hill, NC 27599-6134

Mailing address

102 Mason Farm Rd
Chapel Hill, NC 27599-6134

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201015001827 NC Practitioner - Physical Therapist in Private Practice 3870913627 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University of North Carolina Hospitals at Chapel HillGroup PAC ID 4486561008, 110 clinicians

Practice addresses (Care Compare)

100 Sprunt St
Chapel Hill, NC 27517-7811
Phone (984) 974-2560

6118 Farrington Rd
Suite B
Chapel Hill, NC 27517-8108
Phone (984) 974-9977

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
University of North Carolina Hospitals at Chapel Hill Current Accepting new patients
University of North Carolina Hospitals at Chapel Hill CurrentSince Sep 3, 2020 Accepting new patients
University of North Carolina Hospitals at Chapel Hill CurrentSince Sep 3, 2020 Accepting new patients
University of North Carolina Hospitals at Chapel Hill Physical Therapist Past Accepting new patients
University of North Carolina Hospitals at Chapel Hill Past Accepting new patients
University of North Carolina Hospitals at Chapel Hill Past Accepting new patients

Locations

102 Mason Farm Rd
Chapel Hill, NC 27599
Phone (919) 966-1459

100 Sprunt St
Chapel Hill, NC 27517
Phone (919) 843-2164

5221 Paramount Pkwy
Ste 440
Morrisville, NC 27560
Phone (984) 974-1183

Organizations & group practices 6

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": "1448755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1448755200000",
    "number": "1326412461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 MASON FARM RD",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275996134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 MASON FARM RD",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275996134",
            "telephone_number": "919-966-7400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANGSTON",
        "first_name": "DEREK",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-11-29",
        "last_updated": "2015-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "P13971",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chapel Hill, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2015; 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.

Verify at the official NPI Registry.