Active NPI
Paul Jeffrey Sevigny Jr., PT
- Physical Therapist
- Southern Pines, NC
National Provider Identifier
1578687638
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 9887
- Practice address
- East Road Island Extenion
Southern Pines, NC 28387 - Phone
- (910) 692-0371
- NPI assigned
- Mar 16, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 9887 | NC | Primary |
Addresses
Primary practice location
East Road Island Extenion
Southern Pines, NC 28387
Mailing address
365 Longleaf Dr E
Pinehurst, NC 28374-8012
Phone (910) 295-1028
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9887 | NC | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174003200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1578687638",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "365 LONGLEAF DR E",
"city": "PINEHURST",
"state": "NC",
"postal_code": "283748012",
"telephone_number": "910-295-1028"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "EAST ROAD ISLAND EXTENION",
"city": "SOUTHERN PINES",
"state": "NC",
"postal_code": "28387",
"telephone_number": "910-692-0371"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SEVIGNY",
"first_name": "PAUL",
"middle_name": "JEFFREY",
"name_suffix": "Jr.",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-16",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NC",
"license": "9887",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Southern Pines, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.