Anita Prendergast, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

4628 Issued in NC

Practice address

1903 S Hawthorne Rd
Dba Martinat Rehabilitation Center
Winston Salem, NC 27103-3916

Phone

(336) 718-4820

NPI assigned

Sep 22, 2006

Last updated

Apr 28, 2023By the provider in NPPES

Sex

Female

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

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Core Performance Physical Therapy PLLC

  • Physical Therapy Clinic/Center
  • Stamford, NY
  • NPI 1063138287

  Physical Therapist

  NPD (past)
• Seco Occupational Therapy PC

  • Occupational Therapist
  • Norwich, NY
  • NPI 1548220478
  NPD (past)
• Seco Physical & Occupational Therapy PLLC

  • Specialist
  • Sidney, NY
  • NPI 1992784797

  Physical Therapist

  NPD (past)

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

{
    "created_epoch": "1158883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682640000000",
    "number": "1639278781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 FRONTIS PLAZA BLVD STE 200",
            "address_2": "(ATTN) FORSYTH MEDICAL GROUP",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271035616",
            "telephone_number": "336-277-2435",
            "fax_number": "336-277-9275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1903 S HAWTHORNE RD",
            "address_2": "DBA MARTINAT REHABILITATION CENTER",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271033916",
            "telephone_number": "336-718-4820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRENDERGAST",
        "first_name": "ANITA",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-22",
        "last_updated": "2023-04-28",
        "certification_date": "2023-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "4628",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Premise Health of North Carolina Medical PC (Truist Winston Salem)
• Premise Health of North Carolina Medical, P.C (RJ Reynolds Taylor Brothers)
• Premise Health of North Carolina Medical, P.C (RAI Medical)
• Premise Health of North Carolina Medical, P.C (RAI Medical Center)
• Erealda Prendaj, M.D.
• Nicole Jean Prendergast
• Presbyterian Hospital (Presbyterian Mobile Transport)
• Heather Dawn Prescott, RN
• Annebelle Joy Preske, PA
• Makenzie Rae Presley

• Physical Therapist in Winston Salem, NC
• Providers in Winston Salem, 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 Apr 28, 2023; 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.