Active NPI
Brandon Avery Sheets, PT
- Physical Therapist
- Durham, NC
National Provider Identifier
1508114646
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- P12019
- Practice address
- 2059 Torredge Rd
Durham, NC 27712-1767 - Phone
- (919) 477-4474
- NPI assigned
- Aug 21, 2012
- 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 | P12019 | NC | Primary |
Addresses
Primary practice location
2059 Torredge Rd
Durham, NC 27712-1767
Mailing address
613 Sanderson Dr
Durham, NC 27704-1463
Phone (540) 809-3471
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P12019 | NC | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1345507200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1345507200000",
"number": "1508114646",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "613 SANDERSON DR",
"city": "DURHAM",
"state": "NC",
"postal_code": "277041463",
"telephone_number": "540-809-3471"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2059 TORREDGE RD",
"city": "DURHAM",
"state": "NC",
"postal_code": "277121767",
"telephone_number": "919-477-4474"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHEETS",
"first_name": "BRANDON",
"middle_name": "AVERY",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-08-21",
"last_updated": "2012-08-21",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NC",
"license": "P12019",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Durham, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.