Active NPI
Angela Renee Pisani, PT
- Physical Therapist
- Wilmington, NC
National Provider Identifier
1497899256
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 12996
- Practice address
- 6626 Gordon Rd Ste H
Wilmington, NC 28411-8424 - Phone
- (910) 798-4051
- Fax
- (910) 338-0424
- NPI assigned
- Feb 16, 2007
- Sex
- Female
- 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 | 12996 | NC | Primary |
Addresses
Primary practice location
6626 Gordon Rd Ste H
Wilmington, NC 28411-8424
Mailing address
6626 Gordon Rd Ste H
Wilmington, NC 28411-8424
Phone (910) 798-4051
Other names 1
- Ms. Angela Renee Hillis
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
6626 Gordon Rd
Suite a
Wilmington, NC 28411-8424
Phone (910) 228-2834
Merit-based Incentive Payment System (MIPS)
- Final score
- 96.47 of 100
- Quality
- 90
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Salt & Sage Therapy LLC | Physical Therapist | Current | Accepting new patients |
Locations
6626 Gordon Rd
Ste A
Wilmington, NC 28411
Phone (910) 228-2834
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.
-
- Physical Therapy Clinic/Center
- Wilmington, NC
- NPI 1972393718
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171584000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1648684800000",
"number": "1497899256",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6626 GORDON RD STE H",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284118424",
"telephone_number": "910-798-4051",
"fax_number": "910-338-0424"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6626 GORDON RD STE H",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284118424",
"telephone_number": "910-798-4051",
"fax_number": "910-338-0424"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PISANI",
"first_name": "ANGELA",
"middle_name": "RENEE",
"name_prefix": "Mrs.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-16",
"last_updated": "2022-03-31",
"certification_date": "2022-03-31",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NC",
"license": "12996",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ANGELA",
"last_name": "HILLIS",
"middle_name": "RENEE",
"prefix": "MS.",
"credential": "PT",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Wilmington, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.