Active NPI
Headway Physical Therapy LLC
- Physical Therapy Clinic/Center
- Raleigh, NC
National Provider Identifier
1497540512
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- Legal business name
- HEADWAY PHYSICAL THERAPY LLC
- Practice address
- 715 W Johnson St Ste 200
Raleigh, NC 27603-1207 - Phone
- (919) 910-4015
- Fax
- (919) 910-4015
- NPI assigned
- Apr 10, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Casey Anne Roy, PT, DPT
- Title
- Physical Therapist - Owner
- Phone
- (919) 910-4015
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | |||
| Physical Therapy Assistant | 225200000X | |||
| Massage Therapist | 225700000X | |||
| Physical Therapy Clinic/Center | 261QP2000X | Primary |
Addresses
Primary practice location
715 W Johnson St Ste 200
Raleigh, NC 27603-1207
Mailing address
1915 Carroll Dr
Raleigh, NC 27608-2555
Phone (910) 549-0735
National Provider Directory
National Provider DirectoryLocations
715 W Johnson St
Ste 200
Raleigh, NC 27603
Phone (919) 910-4015
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physical Therapist
- Raleigh, NC
- NPI 1346003027
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1744243200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1744243200000",
"number": "1497540512",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1915 CARROLL DR",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276082555",
"telephone_number": "910-549-0735"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "715 W JOHNSON ST STE 200",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276031207",
"telephone_number": "919-910-4015",
"fax_number": "919-910-4015"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HEADWAY PHYSICAL THERAPY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-04-10",
"last_updated": "2025-04-10",
"certification_date": "2025-04-10",
"status": "A",
"authorized_official_last_name": "ROY",
"authorized_official_first_name": "CASEY",
"authorized_official_middle_name": "ANNE",
"authorized_official_title_or_position": "PHYSICAL THERAPIST - OWNER",
"authorized_official_telephone_number": "919-910-4015",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PT, DPT"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "225200000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Therapy Assistant",
"state": null,
"license": null,
"primary": false
},
{
"code": "225700000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Massage Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QP2000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Physical Therapy",
"state": null,
"license": null,
"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 Apr 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.