Individual provider Active NPI

Nikol Papa, DPT

  • Physical Therapist
  • Statesville, NC
National Provider Identifier
1396589545
Registry record updated Dec 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
P23287 Issued in NC
Practice address
130 Venture LN
Statesville, NC 28625-2740
Phone
(980) 223-8790
NPI assigned
Jun 22, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2024

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 P23287 NC Primary

Addresses

Primary practice location

130 Venture LN
Statesville, NC 28625-2740

Mailing address

1200 Corporate Dr Ste 400
Hoover, AL 35242-5424
Phone (423) 497-0005

Other practice location 1

253 New Market Ctr
Boone, NC 28607-3993
Phone (828) 386-1719

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241023002201 NC Practitioner - Physical Therapist in Private Practice 4385177856 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Duke University School of Medicine, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

348 Grace Corpening Dr
Marion, NC 28752-5864
Phone (828) 580-6821

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Blue Ridge Healthcare Medical Group, Inc. Current Accepting new patients
Benchmark Physical Therapy of NC, LLC Physical Therapist CurrentSince Jul 8, 2024 Accepting new patients
Agilitas USA, Inc Physical Therapist CurrentSince Jul 8, 2024 Accepting new patients
Blue Ridge Healthcare Medical Group, Inc. CurrentSince Aug 7, 2025 Accepting new patients
Drayer Physical Therapy of North Carolina LLC Physical Therapist CurrentSince Jul 8, 2024 Accepting new patients
Benchmark Physical Therapy of North Carolina LLC Physical Therapist Current Accepting new patients
Blue Ridge Healthcare Medical Group, Inc. Physical Therapist CurrentSince Aug 7, 2025 Accepting new patients
Agilitas USA Inc Physical Therapist CurrentSince Jul 8, 2024 Accepting new patients
Benchmark Physical Therapy of NC, LLC Physical Therapist CurrentSince Jul 8, 2024 Accepting new patients
Blue Ridge Healthcare Medical Group, Inc. Past Accepting new patients

Locations

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

253 New Market Ctr
Boone, NC 28607
Phone (828) 386-1719

348 Grace Corpening Dr
Marion, NC 28752
Phone (828) 580-6821

10020 Monroe Rd
Ste 160
Matthews, NC 28105
Phone (704) 841-0894

2201 S Sterling St
Morganton, NC 28655
Phone (828) 580-6393

1901 NW Cary Pkwy
Ste 110
Morrisville, NC 27560
Phone (919) 678-1525

1520 Sunday Dr
Ste 105
Raleigh, NC 27607
Phone (919) 420-1682

130 Venture Ln
Statesville, NC 28625
Phone (980) 223-8790

Organizations & group practices 10

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": "1719014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733875200000",
    "number": "1396589545",
    "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": "423-497-0005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 VENTURE LN",
            "city": "STATESVILLE",
            "state": "NC",
            "postal_code": "286252740",
            "telephone_number": "980-223-8790"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "253 New Market Ctr",
            "address_purpose": "LOCATION",
            "city": "Boone",
            "state": "NC",
            "postal_code": "286073993",
            "country_code": "US",
            "telephone_number": "828-386-1719",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PAPA",
        "first_name": "NIKOL",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-22",
        "last_updated": "2024-12-11",
        "certification_date": "2024-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "P23287",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Statesville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 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.