Active NPI
Frederick B Ireland, DPT
- Orthopedic Physical Therapist
- Leland, NC
National Provider Identifier
1386659969
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- License
- 5096
- Practice address
- 1107 New Pointe Blvd
Leland, NC 28451-4217 - Phone
- (910) 399-1922
- Fax
- (866) 844-3505
- NPI assigned
- Jul 30, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Orthopedic Physical Therapist | 2251X0800X | 5096 | NC | Primary |
Addresses
Primary practice location
1107 New Pointe Blvd
Leland, NC 28451-4217
Mailing address
1107 New Pointe Blvd
Suite B-6
Leland, NC 28451-4217
Phone (910) 399-1922
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5096 | NC | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154217600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1491350400000",
"number": "1386659969",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1107 NEW POINTE BLVD",
"address_2": "SUITE B-6",
"city": "LELAND",
"state": "NC",
"postal_code": "284514217",
"telephone_number": "910-399-1922",
"fax_number": "866-844-3505"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1107 NEW POINTE BLVD",
"city": "LELAND",
"state": "NC",
"postal_code": "284514217",
"telephone_number": "910-399-1922",
"fax_number": "866-844-3505"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IRELAND",
"first_name": "FREDERICK",
"middle_name": "B",
"name_prefix": "Mr.",
"credential": "DPT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-30",
"last_updated": "2017-04-05",
"status": "A"
},
"taxonomies": [
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "NC",
"license": "5096",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Leland, NC
- Sarah Thompson Ihnat, DPT
- Institutional Pharmacy Solutions
- Institutional Pharmacy Solutions, LLC
- Intracoastal Dermatology and Skin Surgery PLLC
- Intracoastal Medical Solutions PLLC
- Riley Elizabeth Isom, LCSWA
- Jackson Eye Associates, OD PA
- Jennifer Michelle Jackson, PA-C
- James a. Poe, D.D.S. and Associates, PLLC
- Cory Craven Jameson II, DMD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.