Individual provider Active NPI

William Avery Wheless

  • Physical Therapist
  • Huntersville, NC
National Provider Identifier
1497210934
Registry record updated Mar 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
P18606 Issued in NC
Practice address
13024 Eastfield Rd # A600
Huntersville, NC 28078-6604
Phone
(980) 288-5440
NPI assigned
Feb 8, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 12, 2020

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 P18606 NC Primary

Addresses

Primary practice location

13024 Eastfield Rd # A600
Huntersville, NC 28078-6604

Mailing address

2812 Woodwind CT
Kannapolis, NC 28081-6402
Phone (704) 785-6339

Other practice location 1

236 LePhillip Court
Suite A
Concord, NC 28025-2954
Phone (704) 707-4282

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

State licenses

LicenseStateTypeSpecialty
P18606NCMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Carolina Physical Therapy Associates LLC Past Accepting new patients

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1549584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583971200000",
    "number": "1497210934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2812 WOODWIND CT",
            "city": "KANNAPOLIS",
            "state": "NC",
            "postal_code": "280816402",
            "telephone_number": "704-785-6339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13024 EASTFIELD RD # A600",
            "city": "HUNTERSVILLE",
            "state": "NC",
            "postal_code": "280786604",
            "telephone_number": "980-288-5440"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "236 LePhillip Court",
            "address_2": "Suite A",
            "address_purpose": "LOCATION",
            "city": "Concord",
            "state": "NC",
            "postal_code": "280252954",
            "country_code": "US",
            "telephone_number": "704-707-4282",
            "fax_number": "704-795-4289",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WHELESS",
        "first_name": "WILLIAM",
        "middle_name": "AVERY",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-02-08",
        "last_updated": "2020-03-12",
        "certification_date": "2020-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "P18606",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntersville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.