Active NPI
Peggy Broadway
- Physical Therapist
- Dunn, NC
National Provider Identifier
1366697336
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- P216
- Practice address
- 111 S Railroad Ave
Dunn, NC 28334-4853 - Phone
- (910) 892-0027
- Fax
- (910) 892-0029
- NPI assigned
- Nov 18, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | P216 | NC | Primary |
Addresses
Primary practice location
111 S Railroad Ave
Dunn, NC 28334-4853
Mailing address
111 S Railroad Ave
Dunn, NC 28334-4853
Phone (910) 892-0027
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P216 | NC | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Innovative Therapy Services LLC | Physical Therapist | Past | Accepting new patients |
| Carolina Therapy Services Inc | Physical Therapist | Past | Accepting new patients |
| Tracy Ingram McGowan | Physical Therapist | Past | Accepting new patients |
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.
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Physical Therapist
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- New Bern, NC
- NPI 1891026803
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1226966400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1226966400000",
"number": "1366697336",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "111 S RAILROAD AVE",
"city": "DUNN",
"state": "NC",
"postal_code": "283344853",
"telephone_number": "910-892-0027",
"fax_number": "910-892-0029"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 S RAILROAD AVE",
"city": "DUNN",
"state": "NC",
"postal_code": "283344853",
"telephone_number": "910-892-0027",
"fax_number": "910-892-0029"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROADWAY",
"first_name": "PEGGY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-11-18",
"last_updated": "2008-11-18",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NC",
"license": "P216",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dunn, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.