Individual provider Active NPI

Meredith Sterling-Swain McInnis

  • Physical Therapist
  • Wilmington, NC
National Provider Identifier
1508274168
Registry record updated Jul 28, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
P14108 Issued in NC
Practice address
3715 Patriot Way
# 141
Wilmington, NC 28412-6907
Phone
(910) 769-2483
NPI assigned
Jul 28, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X P14108 NC Primary

Addresses

Primary practice location

3715 Patriot Way
# 141
Wilmington, NC 28412-6907

Mailing address

3715 Patriot Way
# 141
Wilmington, NC 28412-6907
Phone (910) 769-2483

Other names 1

  • Meredith Sterling Swain Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141101000070 NC Practitioner - Physical Therapist in Private Practice 0042431215 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
PT by the Sea IncGroup PAC ID 1557354826, 8 clinicians

Practice addresses (Care Compare)

1721 Allens LN
Suite 101
Wilmington, NC 28403-3662
Phone (910) 256-4442

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
P14108NCMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
PT by the Sea, Inc Physical Therapist CurrentSince Mar 25, 2015 Accepting new patients

Locations

1721 Allens Ln
Ste 101
Wilmington, NC 28403
Phone (910) 256-4442

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1406505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1406505600000",
    "number": "1508274168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3715 PATRIOT WAY",
            "address_2": "# 141",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284126907",
            "telephone_number": "910-769-2483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3715 PATRIOT WAY",
            "address_2": "# 141",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284126907",
            "telephone_number": "910-769-2483"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCINNIS",
        "first_name": "MEREDITH",
        "middle_name": "STERLING-SWAIN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-28",
        "last_updated": "2014-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "P14108",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MEREDITH",
            "last_name": "SWAIN",
            "middle_name": "STERLING",
            "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 Jul 28, 2014; 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.

Verify at the official NPI Registry.