Individual provider Active NPI

Nathan Adam Fox, PT, DPT

  • Physical Therapist
  • Marshall, NC
National Provider Identifier
1427578756
Registry record updated Jun 27, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
17118 Issued in NC
Practice address
415 Elderberry LN
Marshall, NC 28753-6369
Phone
(828) 252-1790
NPI assigned
Jun 27, 2017
Last updated
Jun 27, 2017By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 27, 2017

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 17118 NC Primary

Addresses

Primary practice location

415 Elderberry LN
Marshall, NC 28753-6369

Mailing address

1320 Morgan Way Apt 303
Winston Salem, NC 27127-5142
Phone (865) 385-9061

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230731002155 NC Practitioner - Physical Therapist in Private Practice 5193186641 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Richard Fowler PT IncGroup PAC ID 0941283311, 8 clinicians

Practice addresses (Care Compare)

828 Fleming St
Suite a
Hendersonville, NC 28791-3546
Phone (828) 698-3489

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
17118NCMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Richard Fowler, PT, Inc. Physical Therapist CurrentSince Jun 5, 2023 Accepting new patients

Locations

828 Fleming St
Ste A
Hendersonvlle, NC 28791
Phone (828) 697-4330

Organizations & group practices 1

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": "1498521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1498521600000",
    "number": "1427578756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1320 MORGAN WAY APT 303",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271275142",
            "telephone_number": "865-385-9061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 ELDERBERRY LN",
            "city": "MARSHALL",
            "state": "NC",
            "postal_code": "287536369",
            "telephone_number": "828-252-1790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOX",
        "first_name": "NATHAN",
        "middle_name": "ADAM",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-06-27",
        "last_updated": "2017-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "17118",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marshall, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2017; 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.