Active NPI
Hunter Lewis Peacock, DPT
- Physical Therapist
- Charlotte, NC
National Provider Identifier
1477858207
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- P15958
- Practice address
- 8045 Providence Rd Ste 100
Charlotte, NC 28277-8916 - Phone
- (704) 316-1222
- NPI assigned
- Jan 26, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 2305206745 | VA | |
| Physical Therapist | 225100000X | P15958 | NC | Primary |
Addresses
Primary practice location
8045 Providence Rd Ste 100
Charlotte, NC 28277-8916
Mailing address
PO Box 60447
Charlotte, NC 28260-0447
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | HPEACOCK286775@DIRECT.NOVANTHEALTH.ORG |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Physiotherapy Associates, Inc. | Past | Accepting new patients |
Interoperability endpoints
- hpeacock286775@direct.novanthealth.org
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 and National Provider Directory roles.
-
- Rehabilitation Clinic/Center
- Chantilly, VA
- NPI 1225457047
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1296000000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1637712000000",
"number": "1477858207",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 60447",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282600447"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8045 PROVIDENCE RD STE 100",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282778916",
"telephone_number": "704-316-1222"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEACOCK",
"first_name": "HUNTER",
"middle_name": "LEWIS",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-01-26",
"last_updated": "2021-11-24",
"certification_date": "2021-11-24",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "VA",
"license": "2305206745",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NC",
"license": "P15958",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "HPEACOCK286775@DIRECT.NOVANTHEALTH.ORG",
"affiliation": "N",
"address_1": "14434 Albemarle Point Pl",
"address_2": "Suite 100",
"city": "Chantilly",
"state": "VA",
"country_code": "US",
"postal_code": "201511764",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.