Individual provider Active NPI

Nathan Houston, DPT

  • Orthopedic Physical Therapist
  • Shallotte, NC
National Provider Identifier
1386202919
Registry record updated Oct 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
CPO32832T Issued in NC
Practice address
5160 Ocean Hwy W
Shallotte, NC 28470-4012
Phone
(910) 332-3800
NPI assigned
May 29, 2019
Last updated
Oct 2, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 24220 MA
Orthopedic Physical Therapist 2251X0800X 28157 MD
Orthopedic Physical Therapist 2251X0800X CPO32832T NC Primary

Addresses

Primary practice location

5160 Ocean Hwy W
Shallotte, NC 28470-4012

Mailing address

3119 Cranberry Hwy Ste 4
East Wareham, MA 02538-4840

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, CT2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20200406000560 MA Practitioner - Physical Therapist in Private Practice 6800225335 Reassigns benefits to 1 organization
I20250801001641 CT Practitioner - Physical Therapist in Private Practice 6800225335 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Anb-Ptsma Holdings IncGroup PAC ID 4789572926, 190 clinicians

Practice addresses (Care Compare)

44 Dale Rd
Suite 203
Avon, CT 06001-4351
Phone (860) 674-1713

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
28157MDMDPharmacist
CPO32832TNCMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Enea Physical Therapy Corporation Physical Therapist CurrentSince Feb 5, 2024 Accepting new patients
Anb-Ptsma Holdings, Inc. Physical Therapist CurrentSince Jun 1, 2025 Accepting new patients
Physiotherapy Associates Inc Past Accepting new patients
Physiotherapy Associates Inc Past Accepting new patients

Locations

44 Dale Rd
Ste 203
Avon, CT 06001
Phone (860) 674-1713

103 E Main St
Unit C
Plainville, CT 06062
Phone (860) 517-8885

47 N Main St
West Hartford, CT 06107
Phone (860) 409-4595

684 Falmouth Rd
Mashpee, MA 02649
Phone (508) 447-5670

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1559088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727827200000",
    "number": "1386202919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3119 CRANBERRY HWY STE 4",
            "city": "EAST WAREHAM",
            "state": "MA",
            "postal_code": "025384840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5160 OCEAN HWY W",
            "city": "SHALLOTTE",
            "state": "NC",
            "postal_code": "284704012",
            "telephone_number": "910-332-3800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOUSTON",
        "first_name": "NATHAN",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-05-29",
        "last_updated": "2024-10-02",
        "certification_date": "2024-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "24220",
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "MD",
            "license": "28157",
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "NC",
            "license": "CPO32832T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shallotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2024; 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.