Individual provider Active NPI

Samantha Hegedus

  • Orthopedic Physical Therapist
  • Durham, NC
National Provider Identifier
1609344670
Registry record updated Oct 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
18427 Issued in NC
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

Updated by the provider on Oct 21, 2022

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 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

LicenseStateTypeSpecialty
18427NCMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.