Individual provider Active NPI

Ruth Godwin Menechella, DPT

  • Physical Therapist
  • Raleigh, NC
National Provider Identifier
1457061756
Registry record updated May 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
P21774 Issued in NC
Practice address
3001 Edwards Mill Rd # 200
Raleigh, NC 27612-5243
Phone
(919) 781-4060
Fax
(919) 863-6825
NPI assigned
Nov 29, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 13, 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 P21774 NC Primary

Addresses

Primary practice location

3001 Edwards Mill Rd # 200
Raleigh, NC 27612-5243

Mailing address

3001 Edwards Mill Rd # 200
Raleigh, NC 27612-5243
Phone (919) 781-4060

Other practice location 1

781 Avent Ferry Rd Ste 110
Holly Springs, NC 27540-7776
Phone (919) 781-4060

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230204000335 NC Practitioner - Physical Therapist in Private Practice 0345612180 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Raleigh Orthopaedic Clinic PAGroup PAC ID 9032012638, 125 clinicians

Practice addresses (Care Compare)

1325 Timber Dr E
Garner, NC 27529-6924
Phone (919) 781-5600

781 Avent Ferry Rd
Suite 110
Holly Springs, NC 27540-7776
Phone (919) 781-5600

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Raleigh Orthopaedic Pharmacy CurrentSince Jun 3, 2024 Accepting new patients
Raleigh Orthopaedic Clinic PA CurrentSince Jun 3, 2024 Accepting new patients
Breakthrough Physical Therapy Inc Physical Therapist CurrentSince Dec 4, 2022 Accepting new patients
Breakthrough Physical Therapy Physical Therapist Past Accepting new patients

Locations

1650 Lyndon Farm Ct
Ste 300
Louisville, KY 40223
Phone (726) 202-3039

981 High House Rd
#100
Cary, NC 27513
Phone (919) 388-0111

1325 Timber Dr E
Garner, NC 27529
Phone (919) 863-6856

781 Avent Ferry Rd
Ste 110
Holly Springs, NC 27540
Phone (919) 645-1411

303 N 35th St
Morehead City, NC 28557
Phone (252) 247-2738

3001 Edwards Mill Rd
Ste 200
Raleigh, NC 27612
Phone (919) 863-6852

3001 Edwards Mill Rd
#200
Raleigh, NC 27612
Phone (919) 863-6853

Organizations & group practices 4

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": "1669680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715558400000",
    "number": "1457061756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3001 EDWARDS MILL RD # 200",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276125243",
            "telephone_number": "919-781-4060",
            "fax_number": "502-805-0526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3001 EDWARDS MILL RD # 200",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276125243",
            "telephone_number": "919-781-4060",
            "fax_number": "919-863-6825"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "781 Avent Ferry Rd Ste 110",
            "address_purpose": "LOCATION",
            "city": "Holly Springs",
            "state": "NC",
            "postal_code": "275407776",
            "country_code": "US",
            "telephone_number": "919-781-4060",
            "fax_number": "919-781-5246",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GODWIN MENECHELLA",
        "first_name": "RUTH",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-29",
        "last_updated": "2024-05-13",
        "certification_date": "2024-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "P21774",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 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.