Active NPI
Michael Radford, PT, DPT
- Orthopedic Physical Therapist
- Smithfield, NC
National Provider Identifier
1508226069
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- License
- P16154
- Practice address
- 540 North St
Smithfield, NC 27577-4016 - Phone
- (919) 934-1094
- Fax
- (919) 934-9044
- NPI assigned
- Feb 26, 2016
- Last updated
- Mar 10, 2016
- 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 |
|---|---|---|---|---|
| Orthopedic Physical Therapist | 2251X0800X | P16154 | NC | Primary |
Addresses
Primary practice location
540 North St
Smithfield, NC 27577-4016
Mailing address
120 William Penn PLZ
Durham, NC 27704-2150
Phone (919) 220-5255
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1456444800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1457568000000",
"number": "1508226069",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "120 WILLIAM PENN PLZ",
"city": "DURHAM",
"state": "NC",
"postal_code": "277042150",
"telephone_number": "919-220-5255",
"fax_number": "919-313-1276"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "540 NORTH ST",
"city": "SMITHFIELD",
"state": "NC",
"postal_code": "275774016",
"telephone_number": "919-934-1094",
"fax_number": "919-934-9044"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RADFORD",
"first_name": "MICHAEL",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-02-26",
"last_updated": "2016-03-10",
"status": "A"
},
"taxonomies": [
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "NC",
"license": "P16154",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Smithfield, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.