Individual provider Active NPI

Michael Eugene Panek, PT, DPT

  • Physical Therapist
  • Salisbury, NC
National Provider Identifier
1437601127
Registry record updated Jul 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
P20529 Issued in NC
Practice address
1508 W Innes St
Salisbury, NC 28144-2504
Phone
(704) 630-9656
NPI assigned
Oct 27, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2025

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 2022049182 MO
Student in an Organized Health Care Education/Training Program 390200000X
Physical Therapist 225100000X P20529 NC Primary

Addresses

Primary practice location

1508 W Innes St
Salisbury, NC 28144-2504

Mailing address

31723 W Harry St
Garden Plain, KS 67050-9547
Phone (316) 217-3550

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, MO2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20210805000130 NC Practitioner - Physical Therapist in Private Practice 3779987243 Reassigns benefits to 1 organization
I20230103000995 MO Practitioner - Physical Therapist in Private Practice 3779987243 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2021
Medicare assignment
May accept Medicare assignment
Group practices
Fowler Physical Therapy IncGroup PAC ID 9234371840, 7 clinicians

Practice addresses (Care Compare)

1036 Branchview Dr
Suite 205
Concord, NC 28025-0113
Phone (980) 244-3200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Fowler Physical Therapy, Inc. Physical Therapist CurrentSince Jul 7, 2021 Accepting new patients

Locations

1036 Branchview Dr
Ste 205
Concord, NC 28025
Phone (980) 244-3200

1508 W Innes St
Salisbury, NC 28144
Phone (704) 630-9656

Organizations & group practices 2

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": "1477526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753920000000",
    "number": "1437601127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31723 W HARRY ST",
            "city": "GARDEN PLAIN",
            "state": "KS",
            "postal_code": "670509547",
            "telephone_number": "316-217-3550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1508 W INNES ST",
            "city": "SALISBURY",
            "state": "NC",
            "postal_code": "281442504",
            "telephone_number": "704-630-9656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PANEK",
        "first_name": "MICHAEL",
        "middle_name": "EUGENE",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-10-27",
        "last_updated": "2025-07-31",
        "certification_date": "2025-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MO",
            "license": "2022049182",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "P20529",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salisbury, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2025; 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.