Paul Tracy Hines, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

4644 Issued in SC

Practice address

122 Branchwood Shopping Ctr
Jacksonville, NC 28546-5800

Phone

(910) 938-7555

NPI assigned

Jun 21, 2019

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Jacksonville Peak Performance Sports & Physical Therapy, L.L.C.

  • Specialist
  • Jacksonville, NC
  • NPI 1164482402
  NPD (past)
• Orthosc, LLC

  • Orthopaedic Surgery Physician
  • North Myrtle Beach, SC
  • NPI 1568100691
  NPD (past)

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

{
    "created_epoch": "1561075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561075200000",
    "number": "1396306395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 BRANCHWOOD SHOPPING CTR",
            "city": "JACKSONVILLE",
            "state": "NC",
            "postal_code": "285465800",
            "telephone_number": "910-938-7555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 BRANCHWOOD SHOPPING CTR",
            "city": "JACKSONVILLE",
            "state": "NC",
            "postal_code": "285465800",
            "telephone_number": "910-938-7555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HINES",
        "first_name": "PAUL",
        "middle_name": "TRACY",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-06-21",
        "last_updated": "2019-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": "4644",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NONE",
            "identifier": "NONE",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "()()()!!!*****",
            "affiliation": "N",
            "address_1": "122 Branchwood Dr",
            "city": "Jacksonville",
            "state": "NC",
            "country_code": "US",
            "postal_code": "28546",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Trista Hill, RDMS
• Holly Hilliard, OTD, OTR/L
• Rhonda Adams Hilliker, CNM
• Joselyn Hillmon
• Sheranda Hines-Higgins, RDA, NA, PT, HHP
• Tessa Noel Hines
• Kiem Hioe, MD
• Leslie Hiraldo, RBT
• Allison Hirko
• Logen Izzak Hirn

• Physical Therapist in Jacksonville, NC
• Providers in Jacksonville, NC by specialty
• Physical Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.