Active NPI
Samantha Hegedus
- Orthopedic Physical Therapist
- Durham, NC
National Provider Identifier
1609344670
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- License
- 18427
- Practice address
- 3400 Westgate Dr Ste B14C
Durham, NC 27707-2696 - Phone
- (919) 597-8276
- NPI assigned
- Nov 8, 2018
- 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 | 18427 | NC | |
| Orthopedic Physical Therapist | 2251X0800X | 18427 | NC | Primary |
Addresses
Primary practice location
3400 Westgate Dr Ste B14C
Durham, NC 27707-2696
Mailing address
119 Fallenwood Ave
Durham, NC 27713-7111
Phone (919) 597-8276
Other practice location 1
4221 Garrett Rd Ste 1-2
Durham, NC 27707-3467
Phone (919) 493-1204
Other practice location 2
1030 Mall Loop Rd
High Point, NC 27262-7656
Phone (336) 841-2985
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 |
|---|---|---|---|
| 18427 | NC | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Activedge Fitness and Sports Performance, Inc. | Orthopedic | Past | Accepting new patients |
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.
-
- Orthopedic Physical Therapist
- Durham, NC
- NPI 1326474420
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1541635200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1666310400000",
"number": "1609344670",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "119 FALLENWOOD AVE",
"city": "DURHAM",
"state": "NC",
"postal_code": "277137111",
"telephone_number": "919-597-8276"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3400 WESTGATE DR STE B14C",
"city": "DURHAM",
"state": "NC",
"postal_code": "277072696",
"telephone_number": "919-597-8276"
}
],
"practiceLocations": [
{
"address_1": "4221 Garrett Rd Ste 1-2",
"address_purpose": "LOCATION",
"city": "Durham",
"state": "NC",
"postal_code": "277073467",
"country_code": "US",
"telephone_number": "919-493-1204",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1030 Mall Loop Rd",
"address_purpose": "LOCATION",
"city": "High Point",
"state": "NC",
"postal_code": "272627656",
"country_code": "US",
"telephone_number": "336-841-2985",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HEGEDUS",
"first_name": "SAMANTHA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-11-08",
"last_updated": "2022-10-21",
"certification_date": "2022-10-21",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NC",
"license": "18427",
"primary": false
},
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "NC",
"license": "18427",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Durham, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.