Individual provider Active NPI

Thomas Lair, P.T.

  • Orthopedic Physical Therapist
  • Supply, NC
National Provider Identifier
1497148795
Registry record updated Mar 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
15152 Issued in NC
Practice address
20 Medical Campus Dr NW
Suite 204
Supply, NC 28462-4096
Phone
(910) 755-5861
Fax
(910) 755-5865
NPI assigned
Mar 10, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X 15152 NC Primary

Addresses

Primary practice location

20 Medical Campus Dr NW
Suite 204
Supply, NC 28462-4096

Mailing address

20 Medical Campus Dr NW
Suite 204
Supply, NC 28462-4096
Phone (910) 755-5861

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250514001599 IA Practitioner - Physical Therapist in Private Practice 3375847676 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
15152NCMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Health Advantage Plus Inc CurrentSince Feb 15, 2025 Accepting new patients
Thomas Speech Therapy Services PLLC CurrentSince May 2, 2020 Accepting new patients

Locations

824 Commercial St
Grinnell, IA 50112
Phone (641) 236-2953

807 Broad St
Grinnell, IA 50112
Phone (641) 236-2953

4501 Main St
Ste 5
Shallotte, NC 28470
Phone (910) 612-1002

20 Medical Campus Dr NW
Ste 204
Supply, NC 28462
Phone (910) 612-1002

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": "1425945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1425945600000",
    "number": "1497148795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 MEDICAL CAMPUS DR NW",
            "address_2": "SUITE 204",
            "city": "SUPPLY",
            "state": "NC",
            "postal_code": "284624096",
            "telephone_number": "910-755-5861",
            "fax_number": "910-755-5865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 MEDICAL CAMPUS DR NW",
            "address_2": "SUITE 204",
            "city": "SUPPLY",
            "state": "NC",
            "postal_code": "284624096",
            "telephone_number": "910-755-5861",
            "fax_number": "910-755-5865"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAIR",
        "first_name": "THOMAS",
        "name_prefix": "Mr.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-03-10",
        "last_updated": "2015-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "NC",
            "license": "15152",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Supply, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2015; 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.

Verify at the official NPI Registry.