Active NPI
Troy R Phillips, PT
- Physical Therapist
- Raleigh, NC
National Provider Identifier
1487931671
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 6469
- Practice address
- 10211 Alm Street
Suite 203
Raleigh, NC 27617-8228 - Phone
- (919) 206-4868
- Fax
- (919) 206-4860
- NPI assigned
- Nov 16, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 6469 | NC | Primary |
Addresses
Primary practice location
10211 Alm Street
Suite 203
Raleigh, NC 27617-8228
Mailing address
5213 South Alston Avenue
Durham, NC 27713-4430
Phone (919) 620-4917
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20111205000700 | NC | Practitioner - Physical Therapist in Private Practice | 0042485989 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6469 | NC | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1321401600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1321401600000",
"number": "1487931671",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5213 SOUTH ALSTON AVENUE",
"city": "DURHAM",
"state": "NC",
"postal_code": "277134430",
"telephone_number": "919-620-4917"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10211 ALM STREET",
"address_2": "SUITE 203",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276178228",
"telephone_number": "919-206-4868",
"fax_number": "919-206-4860"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PHILLIPS",
"first_name": "TROY",
"middle_name": "R",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-11-16",
"last_updated": "2011-11-16",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NC",
"license": "6469",
"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 Nov 16, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.