Active NPI
Shelly Dillon
- Physical Therapist
- Wilmington, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- P7500
- Practice address
- 3901 Wrightsville Ave Ste 120
Wilmington, NC 28403-6256 - Phone
- (910) 679-8385
- NPI assigned
- Mar 4, 2010
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | J10001481 | DE | |
| Physical Therapist | 225100000X | P7500 | NC | Primary |
Addresses
Primary practice location
3901 Wrightsville Ave Ste 120
Wilmington, NC 28403-6256
Mailing address
3901 Wrightsville Ave Ste 120
Wilmington, NC 28403-6256
Phone (910) 679-8385
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| G00716 | Other | FACILITY MEDICARE NUMBER |
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
- Brody School of Medicine at East Carolina University, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
530 Causeway Dr
Suite B6
Wrightsville Beach, NC 28480-1954
Phone (910) 509-2810
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P7500 | NC | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| At Home Therapy Franchising, LLC | Physical Therapist | Current | Accepting new patients |
| At Home Therapy of Wilmington, Inc. | Physical Therapist | Current | Accepting new patients |
| Ivyrehab North Carolina LLC | Past | Accepting new patients | |
| Coastal Speech and Reading Center | Past | Accepting new patients |
Locations
530 Causeway Dr
Ste B6
Wrightsville Beach, NC 28480
Phone (910) 509-2810
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Physical Therapist
- Wrightsville Beach, NC
- NPI 1922639939
-
- Occupational Therapist
- Wrightsville Beach, NC
- NPI 1174620371
Physical Therapist
-
- Speech-Language Pathologist
- Lumberton, NC
- NPI 1649626466
-
- Physical Medicine & Rehabilitation Physician
- Charlotte, NC
- NPI 1528683935
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1267660800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1579132800000",
"number": "1508189564",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3901 WRIGHTSVILLE AVE STE 120",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284036256",
"telephone_number": "910-679-8385"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3901 WRIGHTSVILLE AVE STE 120",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284036256",
"telephone_number": "910-679-8385"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DILLON",
"first_name": "SHELLY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-03-04",
"last_updated": "2020-01-16",
"certification_date": "2020-01-16",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "DE",
"license": "J10001481",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NC",
"license": "P7500",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FACILITY MEDICARE NUMBER",
"identifier": "G00716",
"state": null
}
],
"endpoints": [],
"other_names": []
}
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 Jan 16, 2020; 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.