Individual provider Active NPI

Ryleigh Nicholson

  • Physical Therapist
  • Southport, NC
National Provider Identifier
1508555418
Registry record updated Oct 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
5013 Southport Crossing Way Ste 204
Southport, NC 28461-2206
Phone
(910) 604-9550
Fax
(910) 338-3112
NPI assigned
May 5, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PTH11593 AL
Physical Therapist 225100000X Primary

Addresses

Primary practice location

5013 Southport Crossing Way Ste 204
Southport, NC 28461-2206

Mailing address

1200 Corporate Dr Ste 400
Hoover, AL 35242-5424
Phone (423) 558-0076

Other practice location 1

3947 Gulf Shores Pkwy Ste 260
Gulf Shores, AL 36542-2729
Phone (251) 943-0803

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, AL, TN3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20230706000260 NC Practitioner - Physical Therapist in Private Practice 5193184331 Reassigns benefits to 1 organization
I20231205003790 AL Practitioner - Physical Therapist in Private Practice 5193184331 Reassigns benefits to 1 organization
I20231228000106 TN Practitioner - Physical Therapist in Private Practice 5193184331 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Results-Ast JV LLCGroup PAC ID 4486066396, 390 clinicians

Practice addresses (Care Compare)

262 New Shackle Island Rd
Suite 210
Hendersonville, TN 37075-2489
Phone (615) 507-1552

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Results-Ast JV, LLC Physical Therapist CurrentSince Oct 14, 2023 Accepting new patients
Benchmark Physical Therapy of North Carolina LLC Physical Therapist CurrentSince Apr 24, 2023 Accepting new patients
Benchmark Physical Therapy of Alabama, LLC Physical Therapist CurrentSince Nov 13, 2023 Accepting new patients
Benchmark Physical Therapy of NC, LLC Physical Therapist CurrentSince Apr 24, 2023 Accepting new patients

Locations

153 Narrows Pkwy
Ste 101
Birmingham, AL 35242
Phone (205) 640-4881

3947 Gulf Shores Pkwy
Ste 260
Gulf Shores, AL 36542
Phone (251) 943-0803

1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568

2819 Midway Rd SE
Ste 114
Bolivia, NC 28422
Phone (910) 253-6930

10020 Monroe Rd
Ste 160
Matthews, NC 28105
Phone (704) 841-0894

5013 Southport Crossing Way
Ste 204
Southport, NC 28461
Phone (910) 604-9550

262 New Shackle Island Rd
Ste 210
Hendersonville, TN 37075
Phone (615) 507-1552

2030 Cowan Hwy
Ste 1
Winchester, TN 37398
Phone (931) 968-1080

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1683244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698624000000",
    "number": "1508555418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 CORPORATE DR STE 400",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352425424",
            "telephone_number": "423-558-0076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5013 SOUTHPORT CROSSING WAY STE 204",
            "city": "SOUTHPORT",
            "state": "NC",
            "postal_code": "284612206",
            "telephone_number": "910-604-9550",
            "fax_number": "910-338-3112"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3947 Gulf Shores Pkwy Ste 260",
            "address_purpose": "LOCATION",
            "city": "Gulf Shores",
            "state": "AL",
            "postal_code": "365422729",
            "country_code": "US",
            "telephone_number": "251-943-0803",
            "fax_number": "251-943-4403",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NICHOLSON",
        "first_name": "RYLEIGH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-05",
        "last_updated": "2023-10-30",
        "certification_date": "2023-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AL",
            "license": "PTH11593",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southport, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2023; 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.