High Point Physical Therapy LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

HIGH POINT PHYSICAL THERAPY LLC

Practice address

1030 Mall Loop Rd
High Point, NC 27262-7656

Phone

(336) 781-4320

Fax

(336) 781-4321

NPI assigned

May 17, 2016

Organization subpart

No

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

Authorized official

Name

Kimberly Shelton Crews

Title

Vice President

Phone

(336) 883-2500

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Member of 2

Organizations this organization is a member of, according to the National Provider Directory.

• High Point Regional Health System

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • High Point, NC
  • NPI 1780705004

  Member Of

  NPD member
• North Carolina Baptist Hospital

  • Community/Retail Pharmacy
  • Winston Salem, NC
  • NPI 1881460855

  Member Of

  NPD member

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sara Lin-Eviston Brainard, PT

  • Physical Therapist
  • High Point, NC
  • NPI 1639296882
  Medicare reassignment Care Compare group NPD
• Tracy Dischiavi

  • Physical Therapist
  • High Point, NC
  • NPI 1386751766
  Medicare reassignment Care Compare group NPD
• Keith Herzberger, PT

  • Physical Therapist
  • Winston-Salem, NC
  • NPI 1982666566
  Medicare reassignment Care Compare group NPD
• Lori Hartman Peak, DPT

  • Physical Therapist
  • High Point, NC
  • NPI 1780625137
  Medicare reassignment Care Compare group NPD
• Michele Landry, DPT

  • Physical Therapist
  • Hagerstown, MD
  • NPI 1710362371

  NC

  Medicare reassignment NPD
• Elizabeth Johan Whitman, DPT

  • Physical Therapist
  • High Point, NC
  • NPI 1619212750
  NPD (past)

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

{
    "created_epoch": "1463443200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1615852800000",
    "number": "1538516877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "624 QUAKER LN",
            "address_2": "STE. 207C",
            "city": "HIGH POINT",
            "state": "NC",
            "postal_code": "272623832",
            "telephone_number": "336-883-2500",
            "fax_number": "336-883-9728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1030 MALL LOOP RD",
            "city": "HIGH POINT",
            "state": "NC",
            "postal_code": "272627656",
            "telephone_number": "336-781-4320",
            "fax_number": "336-781-4321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HIGH POINT PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-17",
        "last_updated": "2021-03-16",
        "certification_date": "2021-03-16",
        "status": "A",
        "authorized_official_last_name": "CREWS",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "SHELTON",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "336-883-2500"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://172.254.9.13:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.2019.1",
            "affiliationName": "Bluemark, LLC.",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "40 Sunset Ridge Rd Ste 120",
            "city": "New Paltz",
            "state": "NY",
            "country_code": "US",
            "postal_code": "125611039",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• High Point Health Care Ventures
• High Point Kidney Center of Wake Forest University
• High Point Nephrology Associates, PC
• High Point Occupational Healthcare Services PLLC
• High Point Pediatrics
• High Point Plastic Surgery Associates, Inc.
• High Point Primary Care, P.a.
• High Point Radiological Services
• High Point Regional Clinic
• High Point Regional Health

• Physical Therapist in High Point, NC
• Providers in High Point, NC by specialty
• Physical Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.