Paul Robert Reid, MPT
Individual provider Active NPI Physical Therapist · Swansboro, NC
NPI 1629147459 · NPPES record last updated Jan 8, 2024
Key facts
- NPI
- 1629147459
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- J10002297 (DE)
- Practice address
- 775-2 West Corbett Ave
Swansboro, NC 28584 - Phone
- (910) 325-0211
- Fax
- (910) 325-0580
- NPI assigned
- Nov 7, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- University of Maryland School of Medicine, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Emergeortho PA
Practice addresses (Care Compare)
2716 Ashton Dr
Wilmington, NC 28412-2489
Phone (910) 332-3800
Merit-based Incentive Payment System (MIPS)
- Final score
- 89.07 of 100
- Quality
- 85.94
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 77.63
Merit-based Incentive Payment System (MIPS)
- Final score
- 90.19 of 100
- Quality
- 84.52
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 82.79
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NC
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180718004170 | NC | Practitioner - Physical Therapist in Private Practice | 1254429053 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| J10002297 | DE | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emergeortho PA | Physical Therapist | Current |
Accepting new patients |
| Emergeortho PA | Current |
Accepting new patients | |
| Agape Physical Therapy & Sports Rehabilitation LP | Physical Therapist | Past |
Accepting new patients |
Locations
120 William Penn Plz
Durham, NC 27704
Phone (919) 281-1836
3714 Guardian Ave
Ste E
Morehead City, NC 28557
Phone (252) 222-5862
775 W Corbett Ave
Ste 2
Swansboro, NC 28584
Phone (252) 247-2101
2716 Ashton Dr
Wilmington, NC 28412
Phone (910) 332-1534
Interoperability endpoints
- paul.reid.1@847.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | J10002297 | DE | Yes |
Addresses
Primary practice location
775-2 West Corbett Ave
Swansboro, NC 28584
Mailing address
PO Box 5105
Belfast, ME 04915-5100
Phone (910) 325-0211
Other practice location 1
2227 Old Emmorton Road
Suite 121
Bel Air, MD 21015
Phone (443) 512-0423
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P17895 | Other | NC | PT LICENSE |
| 19976 | Other | MD | LICENSE# |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | paul.reid.1@9526.direct.athenahealth.com | Direct |
Other providers in Swansboro, NC
- Jessica Robyn Oneil
- Onslow Opco Holdings LLC
- Leah Belle Otte
- Holly M Peck
- R Roff Chiropractic Services, PLLC
- Melanie Rae Rhodes
- June Robinson
- Roger R Roff Jr.
- Danielle Rogers
- Amy Nichole Sattler
All providers in Swansboro, NC · Physical Therapist in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 8, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.