Niphan Pesayanavin, DPT,PT, LAT,ATC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

P6833 Issued in NC

Practice address

905 Old Winston Rd Ste B
Kernersville, NC 27284-6640

Phone

(336) 992-2787

Fax

(336) 993-9943

NPI assigned

Jan 25, 2022

Last updated

Mar 9, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Merit-based Incentive Payment System (MIPS)

Final score

88.67 of 100Reported as group

Quality

85.21

Promoting interoperability

99

Improvement activities

40

Cost

77.85

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: niphan.pesayanavin.p12@direct.athleticoltd.nextgenshare.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Activcare Physical Therapy, LLC

  dba Pivot Physical Therapy of Carolina

  • Clinic/Center
  • Raleigh, NC
  • NPI 1548409626

  Physical Therapist

  NPD
• Carolina Physical Therapy Specialists, Inc

  • Physical Therapist
  • Kernersville, NC
  • NPI 1952346439
  NPD

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

{
    "created_epoch": "1643068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646784000000",
    "number": "1619629292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 NEW FIDELITY CT",
            "city": "GARNER",
            "state": "NC",
            "postal_code": "275292665",
            "telephone_number": "919-258-2714",
            "fax_number": "410-648-4878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "905 OLD WINSTON RD STE B",
            "city": "KERNERSVILLE",
            "state": "NC",
            "postal_code": "272846640",
            "telephone_number": "336-992-2787",
            "fax_number": "336-993-9943"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PESAYANAVIN",
        "first_name": "NIPHAN",
        "credential": "DPT,PT, LAT,ATC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-01-25",
        "last_updated": "2022-03-09",
        "certification_date": "2022-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "P6833",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Performance Recovery Inc
• Performance Recovery, Inc
• Kara Perrell
• Shanell Perry-Samuels
• Julianna Perttunen, AUD
• Craig Michael Peters, LPC
• Elizabeth Grace Peters
• Vershelle Peterson
• Fadora Petit Jean
• Petra Management Consultants LLC

• Physical Therapist in Kernersville, NC
• Providers in Kernersville, 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 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.

Verify at the official NPI Registry.