Individual provider Active NPI

Timothy Hulett

  • Physical Therapist
  • Wilmington, NC
National Provider Identifier
1366124927
Registry record updated Aug 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
5619 Carolina Beach Rd Ste 120
Wilmington, NC 28412-2815
Phone
(910) 790-1976
NPI assigned
Aug 3, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2023

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 Primary

Addresses

Primary practice location

5619 Carolina Beach Rd Ste 120
Wilmington, NC 28412-2815

Mailing address

1200 Corporate Dr Ste 400
Hoover, AL 35242-5424
Phone (423) 558-0076

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, MD, DC3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20230921003416 NC Practitioner - Physical Therapist in Private Practice 8325492556 Reassigns benefits to 1 organization
I20250408003011 MD Practitioner - Physical Therapist in Private Practice 8325492556 Reassigns benefits to 1 organization
I20250604001786 DC Practitioner - Physical Therapist in Private Practice 8325492556 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

161 Thomas Johnson Dr
Frederick, MD 21702-4314
Phone (301) 694-8311

3414 Olandwood CT
Olney, MD 20832-1384
Phone (301) 774-0500

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Benchmark Physical Therapy of NC, LLC Physical Therapist CurrentSince Jul 31, 2023 Accepting new patients
Centers for Advanced Orthopaedics, LLC CurrentSince Mar 15, 2025 Accepting new patients
Benchmark Physical Therapy of North Carolina LLC Physical Therapist CurrentSince Jul 31, 2023 Accepting new patients
Centers for Advanced Orthopaedics, LLC CurrentSince Feb 17, 2025 Accepting new patients
Centers for Advanced Orthopaedics, LLC Current Accepting new patients
Centers for Advanced Orthopaedics, LLC Physical Therapist Current Accepting new patients
Centers for Advanced Orthopaedics, LLC CurrentSince Feb 17, 2025 Accepting new patients
Orthopaedic Associates of Central Maryland, PA Past Accepting new patients

Locations

1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568

10700 Charter Dr
Ste 100
Columbia, MD 21044
Phone (301) 774-0500

10710 Charter Dr
Ste 300
Columbia, MD 21044
Phone 4106441880450

165 Thomas Johnson Dr
Ste E
Frederick, MD 21702

86 Thomas Johnson Ct
Frederick, MD 21702
Phone (301) 607-0444

161 Thomas Johnson Dr
Ste 100
Frederick, MD 21702
Phone (301) 579-7811

3280 Urbana Pike
Ste 105
Ijamsville, MD 21754

3416 Olandwood Ct
Ste 110
Olney, MD 20832
Phone (301) 637-4336

3414 Olandwood Ct
Olney, MD 20832
Phone (301) 774-0500

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 8

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": "1691020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691020800000",
    "number": "1366124927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 CORPORATE DR STE 400",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352425424",
            "telephone_number": "423-558-0076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5619 CAROLINA BEACH RD STE 120",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284122815",
            "telephone_number": "910-790-1976"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HULETT",
        "first_name": "TIMOTHY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-08-03",
        "last_updated": "2023-08-03",
        "certification_date": "2023-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "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 Aug 3, 2023; 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.