Active NPI
Ryleigh Nicholson
- Physical Therapist
- Southport, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- 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
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 | 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, TN
Enrollment records 3
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Results-Ast JV, LLC | Physical Therapist | Current | Accepting new patients |
| Benchmark Physical Therapy of North Carolina LLC | Physical Therapist | Current | Accepting new patients |
| Benchmark Physical Therapy of Alabama, LLC | Physical Therapist | Current | Accepting new patients |
| Benchmark Physical Therapy of NC, LLC | Physical Therapist | Current | 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.
-
- Physical Therapist
- Franklin, TN
- NPI 1780291948
-
- Physical Therapist
- Chattanooga, TN
- NPI 1659642916
AL, Physical Therapist
-
- Physical Therapist
- Ooltewah, TN
- NPI 1356894604
NC, Physical Therapist
-
- Physical Therapist
- Leland, NC
- NPI 1588189112
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.